NewRN Care Manager-Nights Endeavor HealthRN Care Manager-NightsGlenview, ILOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Daily functions may include admission review and continued stay reviews, contacting insurance companies to provide clinical information to support admissions/continued hospital stays, referring cases to the Physician Advisor for further review, collecting QA and Avoidable Days data as directed.
NewCase Manager Encompass Health Rehabilitation Hospital of Nittany ValleyCase ManagerZion, PAJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our 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.
NewProgram Manager, Quality & Care Transformation-2 Endeavor HealthProgram Manager, Quality & Care Transformation-2Evanston, ILOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Works closely with physicians, office staff, Clinical Integration Network (CIN) medical leadership, payors and administrative data vendors to assist in facilitating meeting established quality improvement study submissions and targets.
NewTravel Nurse RN - Case Manager - $3,006 to $3,076 per week in Burlington, WI TalentBurst, Inc.Travel Nurse RN - Case Manager - $3,006 to $3,076 per week in Burlington, WIBurlington, WI$3,006–$3,076.40Registered Nurse license issued by the state in which the team member practices, and Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, and. • Must be able to sit, stand, walk and climb stairs for limited to prolonged periods of time to complete required paperwork, gain entry to patients' residences, travel from assigned visits and attend a variety of work related activities.
NewTravel Nurse RN - Case Manager - $2,546 per week in Waterford, WI Seven HealthcareTravel Nurse RN - Case Manager - $2,546 per week in Waterford, WIWaterford, WI$2,546–$2,546Enjoy easy access to local amenities and the scenic landscapes of southeast Wisconsin, ideal for those valuing proximity to nature and a relaxed suburban lifestyle. Seven Healthcare is a trusted staffing agency with 5-star ratings on Google and Vivian and recognition as a Best Travel Nurse Company 2024 by BluePipes.
NewProject Manager (Construction) JobotProject Manager (Construction)Gurnee, IL$90,000–$150,000 / 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. As a Project Manager, you are the leader of multiple simultaneous projects and are accountable for every aspect of a project’s success throughout the project lifecycle.
NewTax Manager JobotTax ManagerNorthbrook, IL$125,000–$175,000 / 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 possess the expertise and resources to assist companies operating across multiple states and countries, offering a comprehensive range of solutions to support their growth.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNZion, ILAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
NewMercantile Hall Sales Manager Mercantile HallMercantile Hall Sales ManagerBurlington, WIMercantile Hall is owned and operated by BEDO Brands, a collection of award-winning brands that focuses on hospitality in the wedding industry, and boasts of incredible sibling brands, including 10 South and Bon Bon Belle Bridal Boutique. We are seeking a full-time Sales Manager to lead tours, schedule events, and guide couples into their planning journeys smoothly.
NewSenior Information Systems Project Manager JouléSenior Information Systems Project ManagerCary, IL$66.66–$66.66 / hourSystem One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. Ensure updates to Quality Management System procedures reflect new PLM workflows.
NewProgram Manager, Nursing Academic Affiliations Endeavor HealthProgram Manager, Nursing Academic AffiliationsGlenview, ILOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. This leadership role is primarily responsible for coordinating and facilitating structures and processes that support external nursing students pursing clinical experiences at Endeavor Health for undergraduate and graduate nursing degrees.
Senior Commercial Property Manager Healthpeak Properties, Inc.Senior Commercial Property ManagerArlington Heights, IL$104,000–$114,000 / yearOur impressive portfolio of over 50,000,000sf of Medical Outpatient buildings, Lab and Life Science facilities, and Senior Assisted Living centers fuel innovation in patient care and research - accelerating scientific discovery, enhancing healthcare delivery, fostering healthier populations, and driving shareholder value. Responsibilities include, but are not limited to:Develop and maintain strong relationships with healthcare partners, building owners, and key decision-makers, while ensuring team members do the same to deliver best-in-class customer service aligned with Healthpeak core values (W.E.
NewSite and Service Manager Ecolab Inc.Site and Service ManagerRacine, WI$81,200–$121,700 / yearNalco Water, an Ecolab Company, seeks a dynamic Service Manager with expertise in cooling infrastructure, specifically in startup, commissioning, and mechanical operation of liquid-to-liquid cooling applications, technical cooling systems (TCS), and coolant distribution units (CDUs) and the training of field teams / customers. We 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.
NewSr. Manager, Global Demand Planning VantiveSr. Manager, Global Demand PlanningDeerfield, IL$136,000–$180,000 / yearThis role ensures high‑quality demand signals, drives global process consistency, and enables strong integration with supply planning to support optimal inventory, service levels, and business results. Vantive has discovered incidents of employment scams, where fraudulent parties pose as Vantive employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information.
NewManufacturing Manager | Richmond, IL Michael Page USAManufacturing Manager | Richmond, ILRichmond, IL$110,000–$130,000 / yearFull timeYou will step into a managerial role with the goal of driving improvements to manufacturing, while also fostering a strong team culture and developing the next wave of company leadership. Partner with cross‑functional leaders to resolve operational challenges, support on‑time delivery, and create action plans aligned with customer and facility goals.
NewManufacturing Manager | Injection Molding Michael Page USAManufacturing Manager | Injection MoldingAntioch, IL$100,000–$130,000 / yearFull timeYou will step into a managerial role with the goal of driving improvements to manufacturing, while also fostering a strong team culture and developing the next wave of company leadership. Partner with cross‑functional leaders to resolve operational challenges, support on‑time delivery, and create action plans aligned with customer and facility goals.
NewTravel Nurse RN - Ambulatory Care - $2,184 per week in Pleasant Prairie, WI Prime StaffingTravel Nurse RN - Ambulatory Care - $2,184 per week in Pleasant Prairie, WIPleasant Prairie, WI$2,184–$2,184ID: 63680569 Shift: Day 5x8-Hour (08:30 - 17:00) Description: Start Date: ASAP - 6/29, or 7/13Locals Accepted: Yes, at a lower rate1stTime Travelers Accepted: YesExperience Required: 1 year, must have previous OBGYN Experience. For RNs working ICU, IMCU, Med Surg, ED, or Birthing, one reference must be from the candidate's most recent assignment or permanent position.
NewTravel Nurse RN - Neonatal Intensive Care Unit - $2,218 per week in Barrington, IL TalentBurst, Inc.Travel Nurse RN - Neonatal Intensive Care Unit - $2,218 per week in Barrington, ILBarrington, IL$2,218–$2,218Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.
NewRegistered Nurse Case Management AscensionRegistered Nurse Case ManagementRacine, WILicensure / Certification / Registration: Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required. Champion post-discharge success by acting as a dedicated liaison between patients and post-acute services, ensuring a smooth, safe transition from hospital to home or specialized care.
NewPrimary Care Physician [Chicagoland clinics] Oak Street HealthPrimary Care Physician [Chicagoland clinics]Elgin, IL$174,070–$374,920 / yearAs the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care centers.
NewPrimary Care Physician-OSH Oak Street HealthPrimary Care Physician-OSHHarwood Heights, ILThe purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care centers. Our Primary Care Physicians operate at a single medical center supported by large care teams so our providers can focus on delivering a better quality of care, rather than a volume of services.
NewTravel Nurse RN - Home Health - $1,923 to $2,211 per week in Waterford, WI Fusion Medical StaffingTravel Nurse RN - Home Health - $1,923 to $2,211 per week in Waterford, WIWaterford, WI$1,923–$2,211Summary:A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
Travel Interventional Radiology (IR) - $3,414 per week in Zion, IL AlliedTravelCareersTravel Interventional Radiology (IR) - $3,414 per week in Zion, ILZion, IL$3,414–$3,414Check job description on NOVA Travel Experience : Not required, accepts first time travelers Travel pairs allowed Modules: Modules are not required Submittal Details: #Tier2 Travel ComplianceBSN is required to submit for all RN positionsMust have IL license in hand upon submission, no pending license, does not accept EMSA2 years exp in specialty required for most submittals. All clinical staff must have the Flu Vaccine or a Flu Declination form signed during flu season (October-March) Certification Requirements : Chemo Cert required for all RN jobs here, except phone triage and case mgr.
Travel Interventional Radiology (IR) - $3,414 per week in Zion, IL AequorTravel Interventional Radiology (IR) - $3,414 per week in Zion, ILZion, IL$3,414–$3,414Check job description on NOVA Travel Experience : Not required, accepts first time travelers Travel pairs allowed Modules: Modules are not required Submittal Details: #Tier2 Travel ComplianceBSN is required to submit for all RN positionsMust have IL license in hand upon submission, no pending license, does not accept EMSA2 years exp in specialty required for most submittals. All clinical staff must have the Flu Vaccine or a Flu Declination form signed during flu season (October-March) Certification Requirements : Chemo Cert required for all RN jobs here, except phone triage and case mgr.
NewPhysician Internal Medicine - Competitive Salary Enterprise Medical RecruitingPhysician Internal Medicine - Competitive SalaryKenosha, WIClinical support from clinical assistants, behavioral care managers, psych consultants, and care coordination through LPNs, RNs, and social workers. Their Care Model delivers customized care that is preventive and proactive and includes all members of the care team, patients, and their families.
Customer Care Area Manager Lennar HomesCustomer Care Area ManagerSchaumburg, IL$65,007.38–$120,395 / yearFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Requires the ability to work more than eight hours per day in the confined quarters of a construction trailer, the ability to operate a motor vehicle, read plans, climb stairs and ladders, bend, stoop, reach, lift, move and/or carry equipment which may be in excess of 50 pounds.
Construction Manager Lennar HomesConstruction ManagerSchaumburg, ILFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Tech-savvy with proficiency in Microsoft Office, Build Pro, Procore, and other construction management software, leveraging technology to streamline workflows, enhance project tracking, and improve overall efficiency.
Operations Manager SavATreeOperations ManagerNorthbrook, IL$70,000–$90,000 / yearFull timeYou’ll also be responsible for day to day logistics including, scheduling & coordinating field personnel and equipment, managing inventory of supplies, overseeing equipment repair/maintenance, and maintaining the branch’s reporting of profits and losses. Through our comprehensive lawn and tree care, we work hard to make sure our customers have attractive, healthy, and cared-for green spaces to enjoy.
NewCare Manager - Kenosha Community Care IncCare Manager - KenoshaKenosha, WIWe are Wisconsin-based with local offices supporting each of the 23 counties we serve Our dedicated team works with members to develop care plans to meet their health and social needs Together with our community partners, we're committed to providing compassionate, personalized care that empowers members to live a healthy and independent lifestyle. Community Care is a local nonprofit with more than 40 years of experience helping older adults and adults with disabilities live as independently as possible within the community.
Care Manager - Racine Community Care IncCare Manager - RacineMount Pleasant, WIWe are Wisconsin-based with local offices supporting each of the 23 counties we serve Our dedicated team works with members to develop care plans to meet their health and social needs Together with our community partners, we're committed to providing compassionate, personalized care that empowers members to live a healthy and independent lifestyle. Community Care is a local nonprofit with more than 40 years of experience helping older adults and adults with disabilities live as independently as possible within the community.
RN Care Manager Endeavor HealthRN Care ManagerArlington Heights, IL$40.45–$62.70 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties.
Manager Inpatient Care Management Advocate Aurora Health IncManager Inpatient Care ManagementPark Ridge, IL$47.50–$71.25 / hourIdentifies and discusses overall and individual physician trends related to care management activities with Director of Inpatient Care Management Operations, Physician Advisor and site Medical Staff Leadership as appropriate with a documented improvement plan to include strategies and educational needs identified. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
Inpatient Care Manager (RN) Advocate Aurora Health IncInpatient Care Manager (RN)Libertyville, IL$38.20–$57.30 / hourServes as an active member of the Outcome Facilitation Team/Patient Care Multidisciplinary Team and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities. Completes UM activities as required based on local structure to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting UM activity, and managing avoidable delays.
RN Case Manager – Hospice Care Transitions GroupRN Case Manager – Hospice CareDes Plaines, IL$75,000–$85,000 / yearAs an RN Case Manager, you'll be the clinical anchor for your patients and their families — coordinating care, guiding the interdisciplinary team, and showing up when it matters most. That means 24/7 care delivered where patients feel safest — at home — with physical, emotional, and spiritual support that lets them focus on living.
RN Case Manager - Care Ally- Itasca Duly Health and CareRN Case Manager - Care Ally- ItascaItasca, IL$79,040–$104,000 / yearThe Case Manager is responsible for managing patients in all health care settings to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care. The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines.
Care Manager, LTSS (BH Licensed) (McKenry, IL) Molina Healthcare IncCare Manager, LTSS (BH Licensed) (McKenry, IL)Gurnee, ILRequired Qualifications • At least 2 years experience in health care, including at least 1 year of experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Case Manager - Home Care Registry Griswold Care Pairing for Lake and NE Cook CountiesCase Manager - Home Care RegistryHighland Park, IllinoisThe Care Manager ensures compliance with Illinois registry guidelines while supporting clients and independent caregivers in a non-employment model. The Care Manager is responsible for coordinating high-quality, non-medical home care services within a private-pay registry model.
RN Care Manager - Racine Community Care IncRN Care Manager - RacineMount Pleasant, WIRN Care/Case Manager Job Responsibilities: Collaborate with the site management team to establish and maintain uniform, consistent care delivery for Community Care members, including collaborative problem solving related to member appointments, transportation, and home care needs. Experience: Minimum 2 years of personal, clinical leadership, and or employment experience providing care or service for a frail or elderly population required; 2 years of recent case management preferred.
RN Care Manager - Kenosha Community Care IncRN Care Manager - KenoshaKenosha, WIRN Care/Case Manager Job Responsibilities: Collaborate with the site management team to establish and maintain uniform, consistent care delivery for Community Care members, including collaborative problem solving related to member appointments, transportation, and home care needs. Experience: Minimum 2 years of personal, clinical leadership, and or employment experience providing care or service for a frail or elderly population required; 2 years of recent case management preferred.
Inpatient RN Care Manager Advocate Aurora Health IncInpatient RN Care ManagerPark Ridge, IL$38.20–$57.30 / hourServes as an active member of the Outcome Facilitation Team/Patient Care Multidisciplinary Team and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities. Completes UM activities as required based on local structure to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting UM activity, and managing avoidable delays.
Lead Care Manager Sunrise Senior Living LLCLead Care ManagerPark Ridge, ILThe Lead Care Manager ensures quality care and services are being provided to residents in our care neighborhoods and documented in a consistent manner and in alignment with each residents Individualized Service Plan (ISP). Ensure compliance with Sunrises Timekeeping and Meal/Rest Period policies, monitor team member break schedule and duration, ensure care managers clock in/out using correct job codes, and coach team members as required.
Care Manager, LTSS (Norridge, IL) Molina Healthcare IncCare Manager, LTSS (Norridge, IL)ILAt least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Care Manager Sunrise Senior LivingCare ManagerBloomingdale, ILThe Care Manager/“Designated Care Manager” is responsible for providing the highest degree of quality care and services to a consistent group of residents and their families in our assisted living/long term care and reminiscence neighborhoods. Understand and practice the proper method of attending to and disposing of, and the possibility of exposure to, blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials.
Customer Care Manager II PulteGroup IncCustomer Care Manager IISchaumburg, IL$32.36–$36 / hourHeadquartered in vibrant Atlanta, Georgia, and operating in over 45 markets nationwide, we're proud to build homes through our trusted family of brands-including Innovative Construction Group, Centex, Pulte Homes, Del Webb, DiVosta Homes, American West, and John Wieland Homes and Neighborhoods, Pulte Mortgage, PGP Title, Pulte Insurance Agency -all united under the PulteGroup name. As one of the nation's largest and most respected homebuilders, PulteGroup offers opportunities to grow within a Fortune 500 company that's consistently recognized as a Fortune 100 Best Company to Work For and a certified Great Place to Work.
RN Patient Care Manager Hospice BrightSpring Health ServicesRN Patient Care Manager HospiceWIOur Hospice RN Patient Care Managers are the cornerstone of our care teams, ensuring patients receive the best possible support while coaching and guiding our clinical staff. Supervising hospice clinical personnel, including hiring and assisting in new employee orientation and assisting in coordination of continuing education programs.
LPN Med Care Manager Sunrise Senior LivingLPN Med Care ManagerBloomingdale, ILAdminister, assist with, and observe medications and treatments for each resident using the medication administration record and the Six Rights of Medication Pass (“Right” resident, medication, dosage, time, route, right to refuse). Understand and practice the proper method of attending to and disposing of, and the possibility of exposure to, blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials.
NewLPN Medication Care Manager - Senior Living Sunrise Senior Living LLCLPN Medication Care Manager - Senior LivingPark Ridge, ILAdminister, assist with, and observe medications and treatments for each resident using the medication administration record and the Six Rights of Medication Pass ("Right" resident, medication, dosage, time, route, right to refuse). Understand and practice the proper method of attending to and disposing of, and the possibility of exposure to, blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials.
Inpatient Care Manager Advocate Aurora Health IncInpatient Care ManagerLibertyville, IL$38.20–$57.30 / hourServes as an active member of the Outcome Facilitation Team/Patient Care Multidisciplinary Team and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities. Completes UM activities as required based on local structure to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting UM activity, and managing avoidable delays.
Hospice Patient Care Manager Journeycare IncHospice Patient Care ManagerILQualifications: Possession of a current license to practice as a registered professional nurse or the equivalent license and education to practice as a healthcare professional in the practicing state. Oversee scheduling, supervision, and on-going educational programs for all professional and paraprofessional staff providing direct patient services.