NewFPS and Launch Specialist Ford Motor CoFPS and Launch SpecialistDearborn, MI$72,480–$121,440 / yearThe VSM Specialist will work directly with plant operations, engineering, quality, and cross-functional teams to map current-state processes, design future-state value streams, and drive implementation of improvement actions. This role is ideal for an early-career Lean practitioner looking to deepen their expertise and contribute to high‑impact operational improvement initiatives across Ford manufacturing sites.
Senior PIP Litigation Claim Specialist - Michigan AAA Southern New EnglandSenior PIP Litigation Claim Specialist - MichiganMIBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Part-time Customer Relations Specialist in Coldwater, Michigan | Careers at Coldwater, MI UNAVAILABLEPart-time Customer Relations Specialist in Coldwater, Michigan | Careers at Coldwater, MIColdwater, MIHandle a high volume of incoming calls ensuring customer service quality, efficiency, and accuracy at all times• Maintain an in-depth knowledge of Suburban Propane products and services, customer account and billing processes, new customer information, and various policies and procedures related to product delivery and service• Utilize a proactive sales approach with every customer interaction to uncover additional sales and service opportunities• Present a professional, confident and enthusiastic image to develop trusting relationships with all customers• Effectively manage customer account data which includes setting up new accounts and maintaining related data. Headquartered in Whippany, New Jersey, Suburban Propane has been in the customer service business since 1928 and is a nationwide distributor of propane, renewable propane, renewable natural gas ("RNG"), fuel oil and related products and services, as well as a marketer of natural gas and electricity and producer of and investor in low carbon fuel alternatives, servicing the energy needs of approximately 1 million residential, commercial, governmental, industrial and agricultural customers through approximately 700 locations across 42 states.
Election Specialist City of SouthfieldElection SpecialistSouthfield, MI$52,417–$78,547 / yearThe city provides term life insurance benefits with accidental death and dismemberment for qualified employees as soon as possible, through the proper insurance carrier in accordance with the following schedule: AFSCME 329: 0-30 months employment $30,000 life and ADD, after 30 months of employment $50,000 term life, accidental death and dismemberment coverage. Individuals with special needs who may require assistance with the application process should contact the Human Resources Department at (248) 796-4700 (voice) or via email at hrsupport@cityofsouthfield.com if auxiliary aids or services are needed.
Senior Technical Training Specialist KIONSenior Technical Training SpecialistGrand Rapids, MichiganJob Description: As a Senior Technical Training Specialist/Electrical & Controls Trainer, you will play a pivotal role in developing and delivering high-quality training programs to both internal and external stakeholders. Your responsibilities will include: • Delivering training programs covering operations, mechanical maintenance, controls maintenance, specific equipment, software, and customer solutions.
Specialist, Risk and Compliance Services (Center of Excellence) Deloitte Touche Tohmatsu LtdSpecialist, Risk and Compliance Services (Center of Excellence)Midland, MI$63,000–$116,000 / yearAs a Specialist, Risk and Compliance Services on the Conflicts Center of Excellence team, you will: Collaborate with Conflicts COE Managers and Senior Managers, Lead Client Service Partners, Deloitte Independence Directors, audit engagement teams, global Conflicts teams, and teams across Deloitte businesses to support auditor independence and identify potential conflicts of interest. The Conflicts CoE team performs a critical quality-assurance and risk-management function for the Deloitte U.S. firm, helping the organization remain unbiased and free from conflicts-of-interest, in fact and appearance, when providing services to attest/audit clients.
EHS&S Specialist KIONEHS&S SpecialistGrand Rapids, MichiganMaintain all OSHA/Dematic compliance forms, including OSHA 300 logs, daily walk-throughs, first aid logs, weekly safety meetings, first aid inspections, fire extinguisher inspections, harness/lanyard and ladder inspections, and ensure first aid cabinets and fire extinguishers are stocked and functional. Serve as a representative for employees and a collaborator with management by keeping open communication with internal customers, addressing EHS needs/issues, and working with management to find solutions.
Resilience / Business Continuity Specialist KLA CorpResilience / Business Continuity SpecialistAnn Arbor, MI$85,200–$144,800 / yearThe KLA Resilience Program and Business Continuity team builds and maintains an excellent resiliency program that drives the planning and community to craft and influence KLA's resilience strategies allowing business operations to continue under adverse conditions. A strong analytical background with experience in enterprise-wide resilience capabilities to include crisis management, emergency response, business continuity, cyber incident response, and/or IT disaster recovery programs.
Sales Operations Specialist Ryerson Inc.Sales Operations SpecialistGrand Rapids, MIAs a leading provider of industrial metal products and services since 1842, we are committed to excellence and best-in-class customer service. Uses critical thinking to solve problems to efficiently provide a delivered product to the customer within an allotted amount of time.
Cyber Identity - CIAM Senior Engineering Management Specialist/Senior Consultant Deloitte Touche Tohmatsu LtdCyber Identity - CIAM Senior Engineering Management Specialist/Senior ConsultantDetroit, MI$105,400–$207,800 / yearCollaborating with business stakeholders, cyber specialists, developers, testers, and alliance/vendor teams to drive delivery milestones, support pursuit activities, resolve issues, and build trusted client relationships through quality delivery. As a Senior Engineering Management Specialist on the Deloitte Cyber team, you will be responsible for: Supporting the design and implementation of Customer Identity and Access Management (CIAM) solutions aligned to client digital transformation and security objectives.
FPS Value Stream Mapping Specialist Ford Motor CoFPS Value Stream Mapping SpecialistDearborn, MI$72,480–$121,440 / yearThe VSM Specialist will work directly with plant operations, engineering, quality, and cross-functional teams to map current-state processes, design future-state value streams, and drive implementation of improvement actions. This role is ideal for an early-career Lean practitioner looking to deepen their expertise and contribute to high‑impact operational improvement initiatives across Ford manufacturing sites.
PIP Claim Specialist - Michigan Auto Club GroupPIP Claim Specialist - MichiganMichiganBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG’s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
NewOncology Sales Specialist Syneos - Commercial - ProdOncology Sales SpecialistDetroit, MIAchieves goals for product sales; maintains consistent momentum in sales cycle; self-disciplined and self-directed; overcomes obstacles; maintains high work ethic; creates sales opportunity. This role is responsible for identifying opportunities to expand share of care and acquisition of new customers in the HNSCC community in support of an exciting diagnostic product launch.
NewClinical Pharmacist Specialist Critical Care Corewell HealthClinical Pharmacist Specialist Critical CareTroy, MichiganIn addition to staffing clinically in the areas that support the adult critical care teams at Corewell Health – Troy Hospital, this position will participate as a clinical content expert with the pharmaceutical care for pulmonary artery hypertension (PAH) for Corewell Health. Today, Corewell Health Beaumont Troy Hospital has grown to 530 licensed beds and offers a comprehensive array of health care services, continuing to develop to meet the needs of the growing communities it serves.
NewClinical Pharmacist Specialist Surgery Corewell HealthClinical Pharmacist Specialist SurgeryFarmington Hills, MichiganKey responsibilities include providing medication education and in-service training to the surgery and anesthesia teams, optimizing Omnicell operations, developing and implementing drug shortage mitigation plans, verifying medication orders for surgical and endoscopy patients, conducting medication and controlled substance audits, and monitoring adherence to surgical prophylaxis guidelines with appropriate clinical interventions. The position maintains active involvement in Surgical Site Infection Committees, participates as a member of the Surgical Services P&T Subcommittee, and contributes to formulary management, medication optimization, and sustainability initiatives across surgical service lines throughout the health system.
NewMarketing Specialist Senior Corewell HealthMarketing Specialist SeniorGrand Rapids, MichiganThey bring a unique blend of strategic thinking and tactical execution, along with the ability to build strong relationships, influence and collaborate with stakeholders, and successfully manage multiple large-scale projects and campaigns simultaneously. They will lead communication planning and campaign execution across products and member experiences, helping deliver best-in-class communications that educate, engage, and support Priority Health members throughout their journey.
NewBIM/CAD Specialist - TS/SCI ParsonsBIM/CAD Specialist - TS/SCISaint LouisWe promote a culture of excellence and close-knit teams that take pride in delivering, protecting, and sustaining our nation's most critical assets, from Earth to cyberspace. Prepare working drawings, primarily Computer-Aided Drafting and Design (CAD) and Builidng Information Modeling (BIM) tools and techniques.
NewLogistics Specialist - TS/SCI required ParsonsLogistics Specialist - TS/SCI requiredSaint LouisPlan, organize, and execute logistics support activities, including supply chain management, inventory management, accountable property records management, Government property disposal, cost analysis, asset management, property disposal to include Lost, Damaged, and Destroyed (LDD). Logistics Specialist support the customer's Logistics Officers in analyzing and coordinating logistical functions for NGA facilities, equipment sites, and globally deployed resources to meet current and emerging customer needs.
NewCulture Programs & Activation Specialist Auto Club GroupCulture Programs & Activation SpecialistMichiganThe Specialist ensures program activation is relevant for both corporate and frontline environments, partners closely with Culture & Experience program owners to keep materials usable and aligned, and coordinates with internal corporate communications as needed to ensure appropriate channel use and message alignment. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance.
NewSenior Sourcing Specialist Corewell HealthSenior Sourcing SpecialistGrand Rapids, MIFrom workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.
NewSpecialist, Risk and Compliance Services (Onboarding) Deloitte Touche Tohmatsu LtdSpecialist, Risk and Compliance Services (Onboarding)Detroit, MI$63,000–$116,000 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
NewCulture Programs & Activation Specialist AAA Southern New EnglandCulture Programs & Activation SpecialistMIThe Specialist ensures program activation is relevant for both corporate and frontline environments, partners closely with Culture & Experience program owners to keep materials usable and aligned, and coordinates with internal corporate communications as needed to ensure appropriate channel use and message alignment. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
Specialist Manager, Risk and Compliance Services (Personal Consultation) Deloitte Touche Tohmatsu LtdSpecialist Manager, Risk and Compliance Services (Personal Consultation)Grand Rapids, MI$93,000–$171,300 / yearInterpreting and applying American Institute of Certified Public Accountants (AICPA), Securities and Exchange Commission (SEC), and Public Company Accounting Oversight Board (PCAOB) independence rules, as well as Deloitte US Firms independence policies, while identifying process improvement opportunities with team members. The Personal Consultation team within Independence & Conflicts Network (ICN) performs a critical consultation and risk-management function for the Deloitte US Firms, protecting Deloitte from conflicts of interest and keeping the Deloitte US Firms independent, objective, and impartial, in fact and appearance.
NewPart- Time Technical Support Specialist Southwestern Michigan CollegePart- Time Technical Support SpecialistMI$18–$18.50 / hourThe employee is required to have visual acuity to perform an activity where the seeing job is at or within arm's reach; performs tasks of a non-repetitive nature, such as technicians, service people, plumbers, painters, mechanics, etc. Required to work on site to modify, install, clean and repair computer software and hardware, peripherals, printers, and audio visual equipment in a classroom environment.
NewMachine Specialist 3rd Shift Dover CorpMachine Specialist 3rd ShiftGrand Rapids, MI$29.86–$32.86 / hourPSG offers a unique combination of the both small company atmosphere: with an ownership mindset that allows you to make close-to-the-customer decisions; an innovative approach in seeing beyond what is possible today and entrepreneurial spirit in the pursuit of new opportunities; combined with benefits of a large company's scale, tools, expertise, and financial strength with Dover. Headquartered in Downers Grove, IL, USA, PSG is comprised of several world-class brands, including Abaque, All-Flo, Almatec, Blackmer, Ebsray, em-tec, Griswold, Hydro, Malema, Mouvex, Neptune, PSG Biotech, Quantex, Quattroflow, and Wilden.
NewSenior EHS Specialist - Signing bonus Roush Enterprises IncSenior EHS Specialist - Signing bonusLivonia, MIThe Senior Environmental, Health, and Safety (EHS) Specialist is responsible for leading and managing environmental compliance programs with a strong focus on battery management, stormwater compliance, hazardous waste and materials handling, and regulatory adherence. Widely recognized for providing engineering, testing, prototype, and manufacturing services to the transportation industry, Roush also provides significant support to the aerospace, defense and theme park industries.
NewClinical Document Specialist Senior Corewell HealthClinical Document Specialist SeniorGrand Rapids, MIUtilizing project management skills, identifies project scope, project requirements, decision points, timelines, and resource requirements for planning, prioritization, implementation, and evaluation of complex, multifaceted quality and patient safety decision support projects and programs. Communicates study or other findings and trains physicians and other healthcare professionals as required in current data and healthcare trends as it relates to appropriate clinical documentation and evidenced-based medicine.
A&G Clinical Specialist HealthfirstA&G Clinical SpecialistMI$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Customer Service Specialist Ferrellgas Partners LPCustomer Service SpecialistKalkaska, MIHandle general customer issues such as general service order input, executing emergency scripts, closing uncontrollable loss accounts, answering general contract information, and answering basic pricing questions. From our nationwide charitable partnerships with Operation Warm and Operation BBQ Relief to fundraisers for local schools, fire departments, veteran organizations and more, we are always looking for ways to give back to the communities we live in and serve.
Health and Safety Specialist AutokinitonHealth and Safety SpecialistBelleville, MI$53,800–$89,400Full timeSupport designing and delivering safety training programs for associates at all levels, including new hire orientation, job-specific safety training, emergency response procedures, and ongoing safety education initiatives. QUALIFICATIONS: The ideal candidate will hold a 4-year degree in Occupational Health and Safety, Environmental Science, or a related field, combined with 3 to 5 years of experience in a health and safety role, preferably within an automotive manufacturing.
Junk Removal Specialist College Hunks Hauling Junk & MovingJunk Removal SpecialistMarquette, MI$16–$17 / hourPrevious experience in general labor, loading, unloading, landscaping, construction, production, manufacturing, assembly, or warehouse work is helpful but not required. There is no other place early in their career that people with little experience can work to build a resume like College Hunks Hauling Junk and Moving!
Procurement Specialist II (Talent Pool) Allegis Global SolutionsProcurement Specialist II (Talent Pool)Troy, MIMeeting clients where they are, we design a plan and guide them along a transformational journey, applying bold actions and diverse minds to solve the most complex challenges – from permanent and extended workforce management to services procurement, consulting, direct sourcing and our Universal Workforce Model™. The Procurement Specialist II is responsible for the operational support of our procurement program teams driving value to our clients through transaction and sourcing processes and working towards delivering our clients with visibility and insight into their services spend.
NewParts Specialist Vermeer Midwest-FowlervilleParts SpecialistFowlerville, MichiganYou’ll have the autonomy to take ownership of your work, while working in a culture rooted in respect, collaboration, and doing what’s right – for our team members, our customers and our communities. A High School diploma or GED with 1+ year in a customer service role (parts counter experience a plus).
Recruitment Sourcing Specialist (Talent Pool) Allegis Global SolutionsRecruitment Sourcing Specialist (Talent Pool)Troy, MIMeeting clients where they are, we design a plan and guide them along a transformational journey, applying bold actions and diverse minds to solve the most complex challenges – from permanent and extended workforce management to services procurement, consulting, direct sourcing and our Universal Workforce Model™. + Proven ability to creatively recommend sourcing strategies utilizing job boards, associations, employee referral programs, social media and internet searches and can perform multiple high-level defined searches.
Recruitment Sourcing Specialist II Allegis Global SolutionsRecruitment Sourcing Specialist IITroy, MIMeeting clients where they are, we design a plan and guide them along a transformational journey, applying bold actions and diverse minds to solve the most complex challenges – from permanent and extended workforce management to services procurement, consulting, direct sourcing and our Universal Workforce Model™. + Proven ability to creatively recommend sourcing strategies utilizing job boards, associations, employee referral programs, social media and internet searches and can perform multiple high-level defined searches.
NewService Reliability Specialist ZelisService Reliability SpecialistSaint LouisBackfill for an existing Service Reliability Specialist position supporting incident leadership, root cause analysis, problem management, process governance, and cross-functional coordination. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Relationship Specialist Team One Credit UnionRelationship SpecialistMichiganTeam One Credit Union is seeking a full-time Relationship Specialist (aka Universal Banking Employee) to support both our Owosso branch, located at 1243 E Main St. Team One Credit union is more than a workplace – we are a community united by our mission: Partnering with our members along their journey toward financial well-being by cultivating lifelong relationships.
NewProperty Operations & Grounds Specialist Westinghouse Electric - USAProperty Operations & Grounds SpecialistBridgman, MI$18–$19 / hourPhysical capability to frequently walk, stand, sit, climb, balance, stoop, kneel, crouch, or crawl; communicate clearly; handle and reach with hands/arms; lift or move up to 75 lbs; and maintain close, peripheral, and depth vision. WECTEC Staffing Services, a wholly owned subsidiary of Westinghouse Electric Company LLC, is hiring a Property Operations & Grounds Specialist to support our Bridgman, MI site.
Behavioral Health Specialist Trinity Health CorporationBehavioral Health SpecialistAnn Arbor, MIIn this role, you'll support patients experiencing behavioral health concerns through assessment, care coordination, brief evidence-based interventions, patient education, and ongoing symptom monitoring that improves outcomes and enhances the patient experience. Trinity Health IHA Medical Group is seeking a compassionate and patient-focused Behavioral Health Specialist to join our Behavioral Health Collaborative Care team.
Retail Sales Specialist - Part-Time SPECTRUMRetail Sales Specialist - Part-TimeSault Ste. Marie, MIBeyond our connectivity solutions, we also provide local news, programming and regional sports via Spectrum Networks and multiscreen advertising solutions via Spectrum Reach. Get to Know Us Charter Communications provides superior communication and entertainment products for residential and business customers through the Spectrum brand.
Solutions Specialist Old Dominion Freight LineSolutions SpecialistKentwood, MIAs a condition of employment, employee must maintain a valid Driver’s License with Satisfactory Driving Record, including no more than (4) moving motor vehicle violations or chargeable accidents, or combination thereof, within (3) years preceding the date of application with no more than (2) moving motor violations in the (12) months preceding the date of application; and no convictions of driving under the influence of alcohol (DWI, DUI, DWAI) within (4) years preceding the date of application. We’ve grown from our humble beginnings of a single truck and one route in 1934 started by Earl and Lillian Congdon to a company of over 23,000 employees.
Full-Time Workforce Development Training Specialist Goodwill Industries of Northern WI and Upper MIFull-Time Workforce Development Training SpecialistHoughton, MIAssist clients in placement efforts including aiding in skill building, application completion, developing interview skills, teaching job retention skills, promoting safe work habits and promoting client awareness of appropriate work attire and hygiene. Responsible for determining suitable training/employment consistent with clients desires, aptitudes, and physical, mental and emotional limitations; promoting and developing job openings and placing qualified applicants in employment settings; coaching and training persons with disabilities in organizational and community job sites.
Business Development Specialist Minetek Pty LtdBusiness Development SpecialistMichigan, MIExceptional customer service skills with a practical approach to providing sales solutions and identifying opportunities for development of Minetek's products and services. Based in Columbus, Ohio, this permanent, full-time position requires a proactive individual who can identify new business opportunities for clients and oversee divisional expansion projects within an established territory remit.
Workforce Development Specialist 1 Goodwill Industries of Northern WI and Upper MIWorkforce Development Specialist 1Houghton, MIFull time2. Assist clients in placement efforts including aiding in application completion, developing interview skills, teaching job retention skills, promoting safe work habits and promoting client awareness of appropriate work attire and hygiene. This position is responsible for determining suitable employment consistent with clients desires, aptitudes, and physical, mental and emotional limitations; promoting and developing job openings and placing qualified applicants in employment settings; coaching and training persons with disabilities in community job sites.
Material Handler & Inventory Specialist (Utility Warehouse) UNICON International, Inc.Material Handler & Inventory Specialist (Utility Warehouse)Bridgman, MILifting/Standing and the ability to work in both indoor and outdoor environments and within all weather patterns * Most Laydown yards are outdoor locations and work is completed in both heat and inclement weather situations. Operate material handling equipment such as hand trucks, forklift trucks, low lift trucks, hoists, overhead cranes, order pickers, or any other equipment as required.
Community Employment & Living Services Specialist West Michigan Community Mental Health SystemCommunity Employment & Living Services SpecialistLudington, MichiganSuch activities are intended to support beneficiaries with attaining and retaining Individual Competitive Integrated Employment (ICIE) and may include helping individuals develop ability to communicate effectively in business settings, acceptable workplace conduct and dress, ability to follow directions and attend to task, workplace problem-solving skills, general workplace safety and mobility training. Specific responsibilities may include Job-related exploration and discovery, person-centered employment/career planning, job placement, job development, negotiation with prospective employers, job training and systematic instruction, job coaching, and career planning that supports the beneficiary to make informed choices about ICIE or self-employment.
Senior Medical Staff Services Specialist Munson HealthcareSenior Medical Staff Services SpecialistCadillac, MIIf you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. Sr Medical Staff Services Specialist will serve as the key Medical Staff Office contact for local CMO, local medical staff leadership, committees, sections, and departments and provide MSO resources for continuity of medical staff organization activities.
Lawn Care Technician / Specialist NaturescapeLawn Care Technician / SpecialistGalesburg, MI$18–$25 / hourFor the benefit of our employees, customers, and anyone who interacts with Naturescape, we are proud to be a drug-free workplace and provide safe and healthy working conditions at all of our branches. Whether you're explaining the benefits of aeration or discussing tree care, your ability to communicate clearly and kindly ensures our clients are happy, informed, and confident in the services you provide.
Inside Sales Specialist GallagherInside Sales SpecialistBloomfield Hills, MichiganThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities.
Surgical Equipment Repair Specialist Agiliti Health, IncSurgical Equipment Repair SpecialistNovi, MIThe ability to use grinding wheels, soldering irons, sand blasters, Dremel style tools, torches, microscopes, small precision hand tools, magnification tools, tweezers, micro screw drivers, digital calipers and test equipment that require hand-eye coordination. We are a nationwide company of passionate medical equipment management experts who proudly serve hospitals and healthcare facilities to ensure quality medical equipment is in the right place at the right time for effective patient care.