NewRegistered Nurse / Patient Care Manager, Home Health AccentCare, Inc.Registered Nurse / Patient Care Manager, Home HealthFranklin, TN$90,000–$100,000What You Need to Know: The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient.
NewCritical Care Nurse Manager TriStar Southern Hills Medical CenterCritical Care Nurse ManagerMurfreesboro, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. The Critical Care Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewCase Manager RN TriStar Skyline Medical CenterCase Manager RNLebanon, TNThe RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. .
NewCase Manager RN TriStar Centennial Medical CenterCase Manager RNNashville, TNOur campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion. Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care .
Medical Sales Account Manager - Post Acute Care Medline IndustriesMedical Sales Account Manager - Post Acute CareNashville, TNFull timeBachelor’s degree and at least 2 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience OR at least 5 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience. Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
NewCase Manager RN TriStar Hendersonville Medical CenterCase Manager RNHendersonville, TNThe Birth Center at TriStar Hendersonville, featuring Sumner County’s only Level II NICU services which hosts spacious LDRP suites and a lactation boutique for inpatient and outpatient services. (RN) Registered Nurse, or (LMSW/RCSW-I) Lic Master Social Worker/Reg Clin SW-Intern, or (LCSW) Clinical Social Worker.
NewCase Manager Nurse TriStar StoneCrest Medical CenterCase Manager NurseSmyrna, TNThe Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
NewRN Case Manager TriStar Skyline Medical CenterRN Case ManagerMurfreesboro, TNThe RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. .
NewCommercial lease manager JobotCommercial lease managerFranklin, TN$100,000–$130,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a healthcare-focused real estate investment platform dedicated to owning, managing, and developing high-quality medical office and outpatient facilities across the United States.
NewInterim Accounting Manager | Healthcare | Remote Vaco LLCInterim Accounting Manager | Healthcare | RemoteBrentwood, TNRemote$50–$57Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
NewCase Manager - Rapid Rehousing Oasis CenterCase Manager - Rapid RehousingNashville, TN$39,000–$42,000 / yearAssist young adults formally and informally as they master life skills and build self-sufficiency, included but not limited to: job readiness, financial management and budgeting, communication skills, transportation, sexual health, and being a good tenant. JOB OBJECTIVE: Actively provide effective service delivery and supports that help young adults, ages 18-24, quickly transition from experiencing homelessness to stable, permanent housing and attain self-sufficiency.
NewSenior Manager of IT Regulatory Compliance A.O. SmithSenior Manager of IT Regulatory ComplianceNashville, TNAlign Controls with Leading Frameworks and Regulatory Requirements – Partner closely with Information Security and Legal/Privacy leadership to ensure alignment with applicable frameworks and regulations (e.g., NIST, COSO, ISO 27001/27701 as applicable, GDPR, India DPDP, China PIPL, CCPA/CPRA), and translate obligations into clear, testable control requirements. In addition, this position helps shape and drive the technology and security aspects of global privacy and data protection compliance programs (e.g., GDPR, India’s DPDP Act, China’s PIPL, CCPA/CPRA, and other applicable regional regulations), partnering closely with Legal/Privacy, Information Security, IT, Finance/Controllership, Internal Audit, and global business leaders.
NewInpatient Rehab Nurse Manager TriStar Southern Hills Medical CenterInpatient Rehab Nurse ManagerMurfreesboro, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom.
Registered Nurse - Case Manager/Utilization Review - Part Time Days Williamson HealthRegistered Nurse - Case Manager/Utilization Review - Part Time DaysMurfreesboro, TNThe flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women's services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Timely reviews patients within 24 hours or next business day after admission and at a minimum of every 2 days thereafter for continued stay, applying appropriate criteria (Interqual®) and facilitating reimbursement for services with third payer parties, obtaining and entering authorization number/approval status and notes in Meditech.
NewTechnology Installation Manager, Retail Equipment Installment (Nashville, TN) StarbucksTechnology Installation Manager, Retail Equipment Installment (Nashville, TN)Nashville, TN$89,000–$189,900In addition to delivering new technology and enhancing/supporting existing systems, an effective Technology Installation Manager contributes relevant technical, functional, and process expertise, negotiates and drives alignment with Operations and Store Development, and coaches/mentors analysts supporting tactical checkout and installation processes. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities.
NewManager, Technology Operations Services (Nashville, TN) StarbucksManager, Technology Operations Services (Nashville, TN)Nashville, TN$127,400–$212,400Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacation from date of hire*, sick time (accrued at 1 hour for every 25 hours worked), eight paid holidays, and two personal days per year.
NewManager, Technology Product & Solutions (Nashville, TN) StarbucksManager, Technology Product & Solutions (Nashville, TN)Nashville, TN$127,400–$212,400Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. You’ll shape the technology vision and roadmap for your area, partner across teams to deliver exceptional end-user experiences, and grow a high-performing team that consistently delivers business value.
Newsenior manager, Data Science (Nashville, TN) Starbuckssenior manager, Data Science (Nashville, TN)Nashville, TN$146,400–$244,300Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacation from date of hire*, sick time (accrued at 1 hour for every 25 hours worked), eight paid holidays, and two personal days per year.
NewNICU Nurse Manager TriStar StoneCrest Medical CenterNICU Nurse ManagerSmyrna, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. The Neonatal ICU Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewEmergency Room Nurse Manager TriStar Summit Medical CenterEmergency Room Nurse ManagerHermitage, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. The Emergency Room Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewMedical Surgical Nurse Manager TriStar Centennial Medical CenterMedical Surgical Nurse ManagerFranklin, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
Newintermediate technical product manager (Nashville, TN) Starbucksintermediate technical product manager (Nashville, TN)Nashville, TN$107,800–$179,800Translate needs into buildable work by writing well-formed epics/user stories, defining acceptance criteria and non-functional requirements (performance, scalability, resilience, usability, accessibility, security, continuity), and clarifying tradeoffs, dependencies, and constraints. Drive delivery and outcomes through iterative Agile practices, partnering with design and engineering on sizing and planning, removing blockers, facilitating user review/acceptance, and measuring feature success post-launch to improve product health.
NewProject Manager, Starbucks Technology (Nashville, TN) StarbucksProject Manager, Starbucks Technology (Nashville, TN)Nashville, TN$89,000–$189,900Drive end-to-end delivery by guiding projects through approval and funding gates, creating clear plans (budget, timeline, detailed schedule, RACI, resource and communications plans), and managing execution from analysis/design through build, test, and deployment. Provide transparent leadership and reporting through relevant status updates, proactive risk/issue management, and strong partnership with Agile roles (e.g., scrum master and product owner) when delivering in Agile environments.
Newadvanced technical product manager (Nashville, TN) Starbucksadvanced technical product manager (Nashville, TN)Nashville, TN$118,900–$198,100Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. Translate strategy into buildable work by creating clear requirements (epics/user stories/techno-functional specs), defining success criteria, and managing prioritization across multiple deliverables and cross-team dependencies.
NewCritical Care Resource Nurse TriStar Centennial Medical CenterCritical Care Resource NurseFranklin, TNOur campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewAssistant Store Manager TJ MaxxAssistant Store ManagerNashville, TNDrive store performance by supporting sales results, managing expenses, and overseeing key operations including merchandising, backroom, frontline, cash office, customer service, markdowns, scheduling, shipping, and receiving, with a strong focus on minimizing shrink and damages. Proficient in store operations, customer service, merchandising, people management, health and safety, and loss prevention, with strong follow-through skills to successfully implement tasks and initiatives.
NewAssistant Store Manager HomeGoodsAssistant Store ManagerFranklin, TNDrive store performance by supporting sales results, managing expenses, and overseeing key operations including merchandising, backroom, frontline, cash office, customer service, markdowns, scheduling, shipping, and receiving, with a strong focus on minimizing shrink and damages. Proficient in store operations, customer service, merchandising, people management, health and safety, and loss prevention, with strong follow-through skills to successfully implement tasks and initiatives.
NewDistrict Manager - Water Ecolab Inc.District Manager - WaterNashville, TN$142,100–$213,200 / yearWe work with customers across the world in the light industry (institutional, food & beverage, manufacturing, transportation, textile care, and global high tech) and heavy industry (chemical, downstream, paper, mining, power and primary metals industries) to reduce, reuse, and recycle their water while protecting their systems and equipment. Nalco Water provides the unique opportunity to work with a broad suite of technologies to deliver automated monitoring systems, data analysis and deep technical expertise to increase efficiency, sustainability and performance for our customers.
Home Manager Volunteers of America Mid-StatesHome ManagerNashville, TN$43,000–$43,680 / yearFull timeThis will be done in conjunction with the Residential Coordinator.15.Monitor and evaluate staff performance and discuss with RSC.16.Recommend and administer disciplinary action for staff not meeting satisfactory performance or violation of company policies.17.Participate in interviewing and hiring process.18.Available for off-duty calls regarding staff or consumer needs.19.Submits weekly report on staff, consumers to Residential Coordinator and Program Director.20.Initiate purchase requests in a timely manner to meet the needs of the consumers served. POSITION TITLE: Home Manager LOCATION: Nashville, TN STATUS: Full Time, Salary, Exempt PROGRAM: Residential Services REPORTS TO: Residential Services Coordinator and Program Director INTRODUCTION:Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service.
Service Manager System OneService ManagerNashville, TN$76,000–$102,000 / yearThe Service Manager is responsible for all field labor, materials, profit, loss, project performance, and safety as well as managing all field labor, subcontractors, and vendors in collaboration with the Services business unit. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
cardiovascular intensive care -CVICU Nurse Travel - Contract TalentBurst, Inc.cardiovascular intensive care -CVICU Nurse Travel - ContractNashville, TNPay package for travelers is around $1800 including Tax free stipend of $1295. 2 years of CVICU Registered Nursing Experience .
NewRegional Manager - Consumer Direct Sales TDS TelecomRegional Manager - Consumer Direct SalesNashville, TN$108,500–$176,300TDS Telecom provides high-speed internet, TV entertainment, and phone services to a diverse range of communities, including small to mid-sized urban, suburban, and rural areas across the U.S. With over 50 years of experience, TDS is committed to building and expanding fiber optic networks that bring cutting-edge connectivity to neighborhoods nationwide. Responsibilities:Manage existing direct sales teams driving activity and delivering sales results from door knocking, partner/referrals, property owner MDU partnerships, local event participation and potential partnership with external door to door vendor to ensure region meets/exceeds sales targets.
Account Manager CorpayAccount ManagerBrentwood, TNThe Account Manager is assigned a portfolio of customers and is responsible for understanding and resolving issues pertaining to products utilized by the client. The responsibilities of the role will include: Working directly with clients to provide day-to-day account support, problem resolution, research, and analysis.
Strategic Account Manager CorpayStrategic Account ManagerBrentwood, TNDemonstrating leadership qualities that influence peers to work collaboratively, automating manual processes, and using the systems available to their fullest potential. Making decisions regarding the set up and support of the clients assigned to their care and has the ability to approve financial fee and or transaction concessions.
NewAcute Care Clinical Nurse Coordinator TriStar Hendersonville Medical CenterAcute Care Clinical Nurse CoordinatorHendersonville, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
NewAcute Care RN TriStar Southern Hills Medical CenterAcute Care RNMurfreesboro, TNEducate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology. As a RN Med Surg, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives.
NewAcute Care RN TriStar Centennial Medical CenterAcute Care RNNashville, TNOur campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewAcute Care Nurse TriStar Centennial Medical CenterAcute Care NurseMurfreesboro, TNOur campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewAcute Care Neuro Spine Nurse TriStar Centennial Medical CenterAcute Care Neuro Spine NurseFranklin, TNAs a Acute Care Neuro Spine Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
NewTravel Nurse RN - Case Manager in Nashville, TN TravelNurseSourceTravel Nurse RN - Case Manager in Nashville, TNNashville, TN$39.05–$46.15 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
District Human Resources Manager PenskeDistrict Human Resources ManagerNashville, TNFull timeThis position will be an important member of the District Leadership team supporting a district comprised of 248 associates and 17 locations across a geography that includes the northern, southern, eastern and western most locations including Nashville, LaVergne, and Huntsville. If you have HR functional experience and skills, e.g., managing associate performance, leading difficult discussions, developing associates, ability to anticipate evolving business, we are interested in hearing from you, including if this experience was gained during time spent in a Penske operational role.
Dialysis Nurse Manager Dialysis Clinic, Inc.Dialysis Nurse ManagerNashville, TN$90,000–$100,000 / yearDCI’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.
NewSr. EHS Manager, North America A.O. SmithSr. EHS Manager, North AmericaNashville, TNAssist EHSS director in aligning and implementing long-term EHS strategies and annual or short term EHSS action plans, projects or initiatives that effectively manages EHSS compliance and risk mitigation objectives with business and operational needs, operating plans, capital planning, resource staffing. Provide EHS service, solutions, programs, best practices and technical guidance to North American facilities and support functions to effectively and efficiently manage compliance assurance and EHSS risk mitigation.
NewTravel Nurse RN - Case Manager - $1,738 per week in Nashville, TN TravelNurseSourceTravel Nurse RN - Case Manager - $1,738 per week in Nashville, TNNashville, TN$1,738.08–$1,738.08TravelNurseSource is working with Lancesoft Inc to find a qualified Case Manager RN in Nashville, Tennessee, 37201! Day 1 Medical, Health, Dental, Vision. $500 Referral Bonus.
NewBranch Manager United RentalsBranch ManagerLa Vergne, TNThe actual pay rate offered to candidates varies depending upon a wide range of factors including specific position, location, education, training, experience, skills, and ability. We're an award-winning company (recently named a Glassdoor Best Place to Work in 2026) that truly cares about our people - That's why we offer best-in-class benefits and perks that will support you and your family.
NewTravel Nurse RN - Trauma Intensive Care Unit - $1,738 per week in Nashville, TN TravelNurseSourceTravel Nurse RN - Trauma Intensive Care Unit - $1,738 per week in Nashville, TNNashville, TN$1,738.05–$1,738.05Job Title: Registered Nurse Profession: RN Specialty: ICU Duration: 13 weeks Shift: 19:00 - 07:00 Hours per Shift: 12 Experience: Minimum of 2 years in ICU License: Active RN license required Certifications: ACLS, BLS Must-Have: - Active RN license - ACLS certification - BLS certification - ICU experience Description: The unit consists of 20 beds. Advanced skills include trauma experience and familiarity with procedures such as central line insertions, arterial line insertions, lumbar punctures, chest tube insertions, and EVD insertions.
Senior Integrated Marketing Manager, Franchises PilotSenior Integrated Marketing Manager, FranchisesNashville, TN$159,000–$215,000 / yearIt’s a group of channel experts—growth marketing, lifecycle, product marketing, partner marketing, content, and ops—who operate with high ownership and drive a significant share of Pilot’s revenue. Partner closely with Sales, Customer Success, and Product Marketing to align messaging, build co-sell motions with franchisors, and surface customer stories from real operators.
Preconstruction Manager - Commercial Construction - Ground Up Michael Page USAPreconstruction Manager - Commercial Construction - Ground UpNashville, TN$118,000–$135,000 / yearFull timeThis GC is known for their large scale projects within the booming Nashville area and focuses on maintaining the relationships and opportunities they have built over the last couple decades. Being based out of Nashville gives them a major advantage on other competition coming from out of town & is a large reason why they have had so much success within the commercial markets.
NewRegistered Nurse, Home Health AccentCare, Inc.Registered Nurse, Home HealthFranklin, TN$75,000–$91,000We’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.