Weekend Care Management Coordinator Interim HealthCare IncWeekend Care Management CoordinatorFarmington, CTGeneral Purpose: Provides a centralized client service function in order to gather pertinent patient/client, clinical and financial information to coordinate care, customer responsiveness and satisfaction. Strong customer service skills including proactive identification and resolution of customer issues using sound judgment and decision-making skills within parameters established by Manager.
Geriatrician Hartford Healthcare (HHC)GeriatricianTorrington, CTIntroducing an excellent opportunity to join Hartford HealthCares highly respected, innovative and supportive, multi-disciplinary geriatrics team serving our patients in the quaint rolling hills of Northwestern Connecticut. Connecticut's convenient location allows easy access to major cities likeNew York and Bostonwhile maintaining a high quality of life withlow crime ratesand beautiful,welcomingsuburban neighborhoods.
Physician / Ellington PC Hartford HealthCare CorpPhysician / Ellington PCCTConnecticut Lifestyle: Connecticut''s convenient location allows easy access to major cities like New York and Boston while maintaining a high quality of life with low crime rates and beautiful, welcoming suburban neighborhoods. Committed to continuous development through The Center for Education Stimulation & Innovation (CESI), our Provider Leadership Development Institute and a robust on demand learning platform including CME, special courses, learning series and tools and resources.
NewRegistered Field Nurse (MDS) (Per Diem) Accountable Care Transactions, Inc.Registered Field Nurse (MDS) (Per Diem)Springfield, MARole Overview: This community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
NewRegistered Nurse, MDS (FT & PT) Accountable Care Transactions, Inc.Registered Nurse, MDS (FT & PT)Springfield, MARole Overview: This community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
NewRN, Home Health Assessments (No Weekends) Accountable Care Transactions, Inc.RN, Home Health Assessments (No Weekends)Holyoke, MARole Overview: This community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
NewRN, Home Health Assessments (Per Diem) Accountable Care Transactions, Inc.RN, Home Health Assessments (Per Diem)Holyoke, MARole Overview: This community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
Physician / Newington PC Willard Hartford Healthcare (HHC)Physician / Newington PC WillardNewington, CTCommitted to continuous development through The Center for Education Stimulation & Innovation (CESI), our Provider Leadership Development Institute and a robust on demand learning platform including CME, special courses, learning series and tools and resources. Hartford HealthCare (HHC) invites Internal Medicine and Family Medicine Physicians to join one of New Englands most respected, fully integrated networks of outpatient primary care practices across Connecticut.
NewRN, Home Health Assessments (Per Diem) Activate CareRN, Home Health Assessments (Per Diem)Springfield, MAThis community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
BHH Specialist: Behavioral Health Home - 7002 CHR CareerBHH Specialist: Behavioral Health Home - 7002Manchester, ConnecticutProvides high level of collaboration with medical providers to ensure medical follow up including PCP & specialist visits, labs, test and procedures to manage chronic health conditions. Collaborates with BHH Primary nurse care manager and other BHH team members to provide improved medical and behavioral health care coordination and outcomes for BHH enrollees.
NewRN, Home Health Assessments (No Weekends) Activate CareRN, Home Health Assessments (No Weekends)Springfield, MAThis community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
Registered Nurse, Home Health Assessments (Full & Part-Time) Activate CareRegistered Nurse, Home Health Assessments (Full & Part-Time)Springfield, MAThis community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
NewRegistered Field Nurse (Mds) (Per Diem) Activate CareRegistered Field Nurse (Mds) (Per Diem)Holyoke, MAThis community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
NewRegistered Nurse, MDS (FT & PT) Activate CareRegistered Nurse, MDS (FT & PT)Springfield, MAThis community-focused, Registered Nurse (RN) will travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
BHH Specialist: Behavioral Health Home - 6317 CHR CareerBHH Specialist: Behavioral Health Home - 6317Willimantic, ConnecticutProvides high level of collaboration with medical providers to ensure medical follow up including PCP & specialist visits, labs, test and procedures to manage chronic health conditions. Collaborates with BHH Primary nurse care manager and other BHH team members to provide improved medical and behavioral health care coordination and outcomes for BHH enrollees.
Leadership and Faculty Physician - PeriOp and Academic Residency Clinic Hartford Healthcare (HHC)Leadership and Faculty Physician - PeriOp and Academic Residency ClinicHartford, CTCommitted to continuous development through The Center for Education Stimulation & Innovation (CESI), our Provider Leadership Development Institute and a robust on demand learning platform including CME, special courses, learning series and tools and resources. Connecticut's convenient location allows easy access to major cities like New York and Bostonwhile maintaining a high quality of life with low crime ratesand beautiful, welcoming suburban neighborhoods.
Direct Care - Relief CHD CareersDirect Care - ReliefSpringfield, MassachusettsYou will report to the Program Manager (or designee) and work collaboratively with the program team, the youth, their family, DCF, and other supporting agencies to play an instrumental role in each child's stay. While you are hired under a specific residential program, you possess the versatility to work within other CHD Congregate Care Programs as required by your direct supervisor.
Senior Direct Care/MAP specialist CHD CareersSenior Direct Care/MAP specialistChicopee, MassachusettsThe Senior Direct Care/MAP specialist assists in maintaining a structured and therapeutic environment that builds on the youth’s strengths to build self-regulation skills; responds to the daily care and treatment needs of all youth in a manner that is respectful of and responsive to diversity across all human characteristics. The Center for Human Development (CHD) provides a broad range of high quality, community-oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need.
Residential Direct Care Staff - Services for Children and Youth CHD CareersResidential Direct Care Staff - Services for Children and YouthWest Springfield, MassachusettsYou will report to the Program Manager (or designee) and work alongside the youth, their family, DCF, and other supporting agencies to help children build crucial self-regulation skills. While you are hired under a specific residential program, you have the collaborative flexibility to work within other CHD Congregate Care Programs as required by your direct supervisor.
Nurse Assistant (CNA, PCT) - Special Care Telemetry Hartford HealthCare CorpNurse Assistant (CNA, PCT) - Special Care TelemetryManchester, CTIt includes Manchester Memorial Hospital, a 249-bed community hospital, Rockville General, a campus of Manchester Memorial Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. Completion of classroom education on Nurse Aide competencies and written verification of such competencies in the clinical area required within the new employee introductory orientation period and maintain clinical competency during employment with ECHN in this role.
Admin Associate IV / Managed Care Contracting Hartford HealthCare CorpAdmin Associate IV / Managed Care ContractingHartford, CTIncluding, but not limited to, ordering of IT equipment, completion of network access forms, inclusion of employee in relevant meeting series and coordination of meet and greets with key staff members. This position contributes to the overall success of the organization by providing multi-dimensional, complex administrative support in a manner which requires self-direction, creativity, and independent and discretionary judgment.
NewDirect Care Professional ServiceNetDirect Care ProfessionalLudlow, Massachusetts$18–$20 / hourAbout ServiceNet ServiceNet is a compassionate non-profit organization that helps over 8,400 individuals facing challenges such as mental illness, developmental disabilities, brain injuries, homelessness, and substance use issues. Shift: Multiple shifts available, including overnights Pay: $18-$20 per hour (Base on experience and certifications - See below) ServiceNet is looking for amazing people who love helping others and making a difference!
Director Of Business Development Eminence Home CareDirector Of Business DevelopmentHartford, CTReferral Source Diversification: Build and maintain active relationships with key non-skilled referral partners, including senior living communities (ALFs/ILFs), geriatric care managers, elder law attorneys, hospital discharge planners, and area agencies on aging (AAAs). Strategic Regional Growth: Develop and execute regional market penetration plans tailored to non-skilled home care, targeting private-pay families, long-term care insurance (LTCI) providers, and state/Medicaid waiver referral sources across NJ, PA, MD, CT, and NH.
Chief of Staff to Chief Administrative and People Officer Sprinklr IncChief of Staff to Chief Administrative and People OfficerCT$177,000–$295,000 / yearSprinklr's unified platform provides powerful solutions for every customer-facing team - spanning social media management, marketing, advertising, customer feedback, and omnichannel contact center management - enabling enterprises to unify data, break down silos, and act on real-time insights. This role blends sharp strategic thinking with hands-on operational rigor to keep the CAO office running at a high bar: ensuring leaders are prepared, decisions turn into action, and the People organization stays aligned on measurable outcomes.
Senior Manager- Epic Training Environment & Content Strategy CVS Health CorpSenior Manager- Epic Training Environment & Content StrategyCT$67,900–$199,144 / yearThe Sr Manager, Epic Training Environment & Content Strategy is responsible for overseeing the design, governance, and optimization of training environments and educational content across enterprise initiatives. This role ensures consistency, quality, and scalability of training environments and documentation to support high-impact implementations and ongoing operational excellence.
Senior Medical Director, Digital Innovation CVS Health CorpSenior Medical Director, Digital InnovationCT$184,112–$396,550 / yearReporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, and partnering across Analytics, Technology, Clinical Operations, Enterprise AI, Product, and Aetna Medical Affairs, this leader will shape how Aetna sources, evaluates, and scales member-facing clinical AI products; how the Aetna Health app and omni-channel digital platforms are designed to activate members; and how AI is embedded into clinical workflows to extend the reach and impact of our care teams. As Senior Medical Director, Digital Innovation at Aetna, a CVS Health company, you will serve as a key physician leader for Aetna's digital health and clinical AI strategy - a role that sits at the forefront of how a leading national health plan is deploying artificial intelligence and digital tools to improve access, drive behavior change, and measurably improve outcomes for tens of millions of members.
Operations Associate Baystate Health SystemOperations AssociateSpringfield, MA$16.34–$18.78 / hour2) Proficiently and accurately utilizes the following computer applications in daily work: C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Kronos access if applicable. Under direct supervision works with patient and family centered care teams to insure all business functions related to processing patient information, managing documentation, organizing patient medical record and facilitating smooth unit operations.
Operations Associate Baystate HealthOperations AssociateSpringfield, Massachusetts2) Proficiently and accurately utilizes the following computer applications in daily work: C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Kronos access if applicable. Under direct supervision works with patient and family centered care teams to insure all business functions related to processing patient information, managing documentation, organizing patient medical record and facilitating smooth unit operations.
Nurse Practitioner Caring Health CenterNurse PractitionerSpringfield, MassachusettsAbility to collaborate with multi-disciplinary team, including physicians, nursing staff, social workers, and case managers. This position also requires the ability to use a computer, work at a computer workstation, viewing a CRT and have some knowledge of a keyboard.
NewClinical Social Worker (40 Hour)(Office/On-site) State of ConnecticutClinical Social Worker (40 Hour)(Office/On-site)Hartford, CT$90,629–$122,474 / yearManages a caseload of consumer behavioral healthcare insurance complaints concerning coverage and/or payment; Reviews and assesses medical records including psychological assessment and treatment plans, concerning but not limited to mental, emotional, behavioral and addictive disorders to determine appropriate treatment plans and eligibility for insurance benefit payment; Participates in insurance appeal hearings and serves as clinical expert to defend and demonstrate that the diagnostic assessment and treatment plans are appropriate and required to address client behavioral healthcare needs; Performs related duties as required. social work methodology, casework, group work and community mobilization; family and interpersonal relationship dynamics; values, sanctions, purposes and ethics of professional social work; social, cultural, economic, medical, psychological and legal issues which influence attitudes and behaviors of clients and families; mental illnesses and approaches to treatment; Considerable.
Pediatric Nurse Practitioner Caring Health CenterPediatric Nurse PractitionerSpringfield, MassachusettsAbility to collaborate with a multidisciplinary team, including physicians, PAs and NPs, nursing staff, medical assistants, community health workers, nutritionists, social workers, and case managers. Identifies potential and actual health and health-related problems, both acute and chronic, and together with patient and family / guardian, develops and implements treatment plans that include pharmacologic and non-pharmacologic components.
Patient Care Technician Full Time Days Baystate Health SystemPatient Care Technician Full Time DaysSpringfield, MA$17.01–$20.80 / hourThe base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Center (BMC), is looking for Full Time Patient Care Technician to join our Acute Care for Elders team in Springfield, MA.
Patient Care Technician, Full Time, 36 Hours, Days Baystate HealthPatient Care Technician, Full Time, 36 Hours, DaysSpringfield, MA$17.01–$21.57 / hourThe base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. 2) Three or more years of patient care experience (this experience can vary in level of long-term care, specialty, acute care, etc.) experience OR at least one year as a level II PCT at Baystate Health.
Patient Care Technician, Full Time, 36 Hour Nights Baystate HealthPatient Care Technician, Full Time, 36 Hour NightsSpringfield, MA$17.01–$21.57 / hourThe base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. 2) Three or more years of patient care experience (this experience can vary in level of long-term care, specialty, acute care, etc.) experience OR at least one year as a level II PCT at Baystate Health.
Patient Care Technician Full Time Days Baystate HealthPatient Care Technician Full Time DaysSpringfield, MassachusettsThe base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Center (BMC), is looking for Full Time Patient Care Technician to join our Acute Care for Elders team in Springfield, MA.
Licensed Practical Nurse UnitedHealth Group IncLicensed Practical NurseHolyoke, MA$21.11–$46.68 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Actively participates in the agency"s care coordination process including timely reporting patients" needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable).
Nurse Practitioner - Full Time - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner - Full Time - In-Home Health AssessmentsHolyoke, MA$95,500–$158,400 / yearMatrix Medical Network pioneered the first national in-home clinical network, and today we're an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure - Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states - or others you may want to visit while completing health assessments.
Nurse Practitioner -PRN Matrix Medical NetworkNurse Practitioner -PRNHolyoke, MA$90–$115 / hourOur providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols Administer and order point of care and lab-based testing as needed Work with physicians, case managers, social workers, family members, key caregivers, and ancillary medical personnel as appropriate Collaborate with Primary Care Physician (PCP) on patient education and follow up as necessary Provide services at the members place of residence which can be in their homes or Skilled Nursing Facilities Benefits of Working at Matrix Flexibility - Visits are scheduled based on YOUR availability. Qualifications Skills & Experience That Shine Masters Degree or commensurate experience and satisfactory completion of NP licensure Current NP licensure in state of practice to include prescription authority or the ability to obtain prescriptive authority as needed AANP, AACN, or ANCC board certification in Adult, Adult Gerontology Primary Care, Adult Gerontology Acute Care, Family, Emergency, or Acute Care specialty Current BLS, ACLS or CPR certification 1 year of NP experience preferred, new grads encouraged to apply!
Registered Nurse RN Home Health Enhabit IncRegistered Nurse RN Home HealthSouth Windsor, CTRegistered Nurses (RNs) must meet the following requirements: Be currently licensed as a Registered Nurse (RN) in the state of employment A minimum of one year of clinical experience is preferred Demonstrate knowledge and skill in current nursing practice Possess a valid state driver's license and automobile liability insurance. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role.
LPN Behavioral Health Home Visits UnitedHealth Group IncLPN Behavioral Health Home VisitsCT$20–$35.72 / hourAs the Home and Community Based Services Licensed Practical Nurse, you will be providing direct nursing care as prescribed by the physician to acutely ill, and/or chronically ill patients in their homes as well as recording clinical and progress notes; and coordinating other patient care activities/services to provide the highest quality of patient care in the geographic service area to which she/he is assigned. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Clinical Evaluator (RN) Wethersfield Corporate OfficeClinical Evaluator (RN)Wethersfield, ConnecticutFull timeToday, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.
LPN/LVN Dispensing Nurse - PRN Springfield Comprehensive Treatment CenterLPN/LVN Dispensing Nurse - PRNSpringfield, Massachusetts$33–$35 / hourPer diemSpringfield Comprehensive Treatment Center (CTC), located in Springfield, MA, is part of Acadia Healthcare's Comprehensive Treatment Centers—the nation's leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Our approach to holistic addiction care extends beyond clinical treatment, incorporating recovery coaching, community outreach and partnerships to ensure patients receive comprehensive, patient-centered support.
Licensed Practical Nurse LPN - Home Health Elara CaringLicensed Practical Nurse LPN - Home HealthChicopee, MA$30–$38 / hourIf you're looking for a rewarding career where your clinical expertise, compassion, and dedication can truly make a difference, join Elara Caring and help us redefine the future of home-based healthcare-one patient, one family, and one community at a time. Every day, our dedicated team provides compassionate, high-quality care to more than 60,000 patients across the country, helping them live safely and independently in the place they call home.
Home Health Licensed Practical Nurse - Sign On Bonus! Elara CaringHome Health Licensed Practical Nurse - Sign On Bonus!Chicopee, MassachusettsIf you're looking for a rewarding career where your clinical expertise, compassion, and dedication can truly make a difference, join Elara Caring and help us redefine the future of home-based healthcare—one patient, one family, and one community at a time. Every day, our dedicated team provides compassionate, high-quality care to more than 60,000 patients across the country, helping them live safely and independently in the place they call home.
Home Health LPN -Sign On Bonus! Elara CaringHome Health LPN -Sign On Bonus!Chicopee, MassachusettsIf you're looking for a rewarding career where your clinical expertise, compassion, and dedication can truly make a difference, join Elara Caring and help us redefine the future of home-based healthcare—one patient, one family, and one community at a time. Every day, our dedicated team provides compassionate, high-quality care to more than 60,000 patients across the country, helping them live safely and independently in the place they call home.
Client Care Coordinator WheelerClient Care CoordinatorNew Britain, CTMaintain Work-Life Harmony: Recharge with generous paid time off, including: 15 vacation days per year to explore and recharge8 sick days per year for your well-being2 personal days per year for your personal needs2 floating holidays per year to celebrate what matters to you9 paid company holidays to spend with loved ones. Fuel Your Career Growth: Pursue your educational goals with our Education Reimbursement ProgramAccess training and development opportunitiesReceive a productivity incentive to recognize your hard work and dedication.
LPN Home Visits LHC Group IncLPN Home VisitsNew Britain, CTResponsibilities Job Summary The Home Care Licensed Practical/Vocational Nurse is responsible for providing direct nursing care as prescribed by the physician to acutely ill, and/or chronically ill patients in their homes as well as recording clinical and progress notes; and coordinating other patient care activities/services to provide the highest quality of patient care in the geographic service area to which she/he is assigned. Actively participates in the agency's care coordination process including timely reporting patients' needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable) Ensures confidentiality of patient health information per agency policy.
LPN Weekend Home Visits LHC Group IncLPN Weekend Home VisitsHartford, CTResponsibilities Job Summary The Home Care Licensed Practical/Vocational Nurse is responsible for providing direct nursing care as prescribed by the physician to acutely ill, and/or chronically ill patients in their homes as well as recording clinical and progress notes; and coordinating other patient care activities/services to provide the highest quality of patient care in the geographic service area to which she/he is assigned. Actively participates in the agency's care coordination process including timely reporting patients' needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable) Ensures confidentiality of patient health information per agency policy.
LPN Behavioral Health Home Visits LHC Group IncLPN Behavioral Health Home VisitsBloomfield, CTResponsibilities Job Summary The Home Care Licensed Practical/Vocational Nurse is responsible for providing direct nursing care as prescribed by the physician to acutely ill, and/or chronically ill patients in their homes as well as recording clinical and progress notes; and coordinating other patient care activities/services to provide the highest quality of patient care in the geographic service area to which she/he is assigned. Actively participates in the agency's care coordination process including timely reporting patients' needs and changes in condition, attending patient case conference, communicating effectively to the patient, family, physician, other clinicians, agency management staff, and case coordinator, community case managers (as applicable) Ensures confidentiality of patient health information per agency policy.