Clinical Nurse Specialist AscensionClinical Nurse SpecialistEvansville, INOne or more of the following required: Clinical Nurse Specialist credentialed from the American Nurses Credentialing Center (ANCC) obtained within 6 Months (180 days) of hire date or job transfer date. Clinical Nurse Specialist credentialed from the American Association of Critical Care Nurses (AACN) obtained within 6 Months (180 days) of hire date or job transfer date.
NewInfection Control & Wound Nurse (LPN, RN) St. Mary HealthcareInfection Control & Wound Nurse (LPN, RN)Lafayette, INComplete review of fridge temps, FirstDose room temps BID, completion of crash cart audits, fall intervention check, med carts, HIPPA violations, TSS, and med rooms and report findings to the ADON, DON and the Executive Director. WHAT WE'RE LOOKING FOR: The Infection Control and Wound Nurse (LPN, RN) is responsible for assisting the Director of Nursing (DON) and Assistant Director of Nursing (ADON) by overseeing the wound care program to ensure that proper measures are taken for appropriate intervention and outlining treatment care plans. .
NewInfection Control & Wound Nurse (LPN, RN) Bethany Pointe Health CampusInfection Control & Wound Nurse (LPN, RN)Anderson, INComplete review of fridge temps, FirstDose room temps BID, completion of crash cart audits, fall intervention check, med carts, HIPPA violations, TSS, and med rooms and report findings to the ADON, DON and the Executive Director. WHAT WE'RE LOOKING FOR: The Infection Control and Wound Nurse (LPN, RN) is responsible for assisting the Director of Nursing (DON) and Assistant Director of Nursing (ADON) by overseeing the wound care program to ensure that proper measures are taken for appropriate intervention and outlining treatment care plans. .
NewTravel PCU RN - $2,556 per week MedasourceTravel PCU RN - $2,556 per weekLafayette, INAdditional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. Medasource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee's needs.
NewTravel Cath Lab RN - $2,582 per week MedasourceTravel Cath Lab RN - $2,582 per weekLafayette, INAdditional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. Medasource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee's needs.
NewTravel CVOR Circulating Registered Nurse - $2,616 per week MedasourceTravel CVOR Circulating Registered Nurse - $2,616 per weekIndianapolis, INAdditional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. Medasource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee's needs.
Assistant Director of Nursing (ADON, RN) The Springs Of MooresvilleAssistant Director of Nursing (ADON, RN)Mooresville, IN$79,000–$92,000WHAT WE'RE LOOKING FOR: The Assistant Director of Nursing (ADON) supports the Director of Nursing (DON) by planning, organizing, developing, and overseeing the Nursing Service Department's daily functions. GET IN TOUCH: Stacey (463) 282-2418 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
Assistant Director of Nursing (ADON, RN) Wellbrooke of WestfieldAssistant Director of Nursing (ADON, RN)Westfield, IN$90,000–$100,000WHAT WE'RE LOOKING FOR: The Assistant Director of Nursing (ADON) supports the Director of Nursing (DON) by planning, organizing, developing, and overseeing the Nursing Service Department's daily functions. GET IN TOUCH: Heidy (317)-951-9648 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
NewLicensed Practical Nurse (LPN) The Springs at LafayetteLicensed Practical Nurse (LPN)Lafayette, IN$23.97–$35.21WHAT WE'RE LOOKING FOR: The Licensed Practical Nurse (LPN) is primarily responsible for providing direct, quality clinical care and the supervision of nursing assistants working with residents assigned to each unit. GET IN TOUCH: Erica (765) 249-3925 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
NewLicensed Practical Nurse (LPN) Prairie Lakes Health CampusLicensed Practical Nurse (LPN)Noblesville, IN$25.23–$31.54WHAT WE'RE LOOKING FOR: The Licensed Practical Nurse (LPN) is primarily responsible for providing direct, quality clinical care and the supervision of nursing assistants working with residents assigned to each unit. GET IN TOUCH: Erica (765) 249-3925 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
Licensed Practical Nurse (LPN) Signature Consulting Services LLCLicensed Practical Nurse (LPN)New Albany, IN$32.30Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report , we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.
Associate Clinical Consultant or Clinical Consultant (Indianapolis, IN) - Johnson & Johnson MedTech - Heart Recovery Johnson & JohnsonAssociate Clinical Consultant or Clinical Consultant (Indianapolis, IN) - Johnson & Johnson MedTech - Heart RecoveryIndianapolis, INRequired Skills: Preferred Skills: Communication, Customer Centricity, Innovation, Market Expansion, Market Research, Medicines and Device Development and Regulation, Proactive Behavior, Problem Solving, Product Knowledge, Sales Engineering, Solutions Selling, Strategic Sales Planning, Sustainable Procurement, Vendor Selection. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.
MedTech Part Time Clinical Consultant â Northwest Indiana IQVIA Holdings IncMedTech Part Time Clinical Consultant â Northwest IndianaLogansport, IN3+ years' experience with a strong clinical background in the Cardiac ICU (CICU), Cardiovascular ICU (CVICU), Cardiovascular OR (CVOR), or Catheterization Lab (Cath Lab) required; CVICU experience highly preferred. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
Senior Clinical Content Consultant - Pharmacist (Surveillance & Customer Support) Wolters Kluwer N.V.Senior Clinical Content Consultant - Pharmacist (Surveillance & Customer Support)Indianapolis, IN$144,500–$258,300 / yearMeets the expectations and requirements of internal and external customers; gets first-hand customer feedback and uses it to improve products and services; balances customer needs and business priorities as potential projects are requested. The pharmacist in this role will be working within the referential drug database team and alongside the current surveillance-customer support pharmacist to handle expanding surveillance and customer support activities.
Lactation Consultant Registered Nurse - Part Time, Evenings Beacon Health SystemLactation Consultant Registered Nurse - Part Time, EveningsSouth Bend, INIn addition to direct patient care, you'll serve as a trusted breastfeeding resource for hospital staff, oversee breast pump rentals and retail services, and contribute to quality improvement initiatives that enhance the overall patient experience. Your collaborative mindset, excellent communication skills, and ability to remain calm under pressure allow you to work effectively with interdisciplinary teams and connect families with the resources they need for long-term success.
Clinical Nurse-Wound Ostomy-PRN NEW Indiana University Health IncClinical Nurse-Wound Ostomy-PRN NEWIndianapolis, INThe Clinical Nurse - Wound Ostomy provides direction and coordination for a specific patient population with disorders of the gastrointestinal, genitourinary, and integumentary systems supporting the IU Health Way. Position Overview: The Clinical Nurse - Wound Ostomy specializes in managing complex wound, ostomy, and continence cases, offering expert guidance and support to the care team.
Clinical Nurse-Wound Ostomy NEW Indiana University Health IncClinical Nurse-Wound Ostomy NEWIndianapolis, INThe Clinical Nurse - Wound Ostomy provides direction and coordination for a specific patient population with disorders of the gastrointestinal, genitourinary, and integumentary systems supporting the IU Health Way. Position Overview: The Clinical Nurse - Wound Ostomy specializes in managing complex wound, ostomy, and continence cases, offering expert guidance and support to the care team.
Clinical Nurse Specialist NEW Indiana University Health IncClinical Nurse Specialist NEWCarmel, INServing in five key roles-Expert Clinician, Educator, Leader, Researcher, and Consultant-the CNS actively influences patient care practices, nursing excellence, and system improvements across their specialty areas. Position Overview: The Clinical Nurse Specialist (CNS) is a Masters-prepared Advanced Practice Registered Nurse dedicated to enhancing patient care outcomes within the Medical Surgical Units.
Registered Nurse Clinical Development NICU AscensionRegistered Nurse Clinical Development NICUIndianapolis, IndianaFull timeConsult on the analysis, design, development, implementation, and evaluation of Nursing Professional Development (NPD) programs and performance processes that support core nursing and clinical competency across the organization. Serve as a strategic consultant for nursing clinical performance initiatives to create, implement, and evaluate multi-faceted competency-based programs, delivery mechanisms, and clinical performance.
Clinical Nurse Specialist Ascension Health AllianceClinical Nurse SpecialistEvansville, INOne or more of the following required: Clinical Nurse Specialist credentialed from the American Nurses Credentialing Center (ANCC) obtained within 6 Months (180 days) of hire date or job transfer date. Clinical Nurse Specialist credentialed from the American Association of Critical Care Nurses (AACN) obtained within 6 Months (180 days) of hire date or job transfer date.
Registered Nurse Clinical Development NICU Ascension Health AllianceRegistered Nurse Clinical Development NICUIndianapolis, INConsult on the analysis, design, development, implementation, and evaluation of Nursing Professional Development (NPD) programs and performance processes that support core nursing and clinical competency across the organization. Serve as a strategic consultant for nursing clinical performance initiatives to create, implement, and evaluate multi-faceted competency-based programs, delivery mechanisms, and clinical performance.
NewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantIN$26.01–$62.32 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
NewOncology RN - Clinical Research Actalent IncOncology RN - Clinical ResearchIndianapolis, IN$40–$45 / hourThe nurse initially works at the North Cancer Center and travels to the East Cancer Center as needed, with the expectation of eventually transitioning to the East Cancer Center full time, depending on trial ramp-up timelines. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.
Clinical Research Nurse Actalent IncClinical Research NurseIndianapolis, IN$28–$37 / hourThe coordinator will collaborate closely with nurses, physicians, regulatory and data teams, and sponsors in a fast-paced environment, contributing directly to the expansion of clinical research within two cancer centers and gaining opportunities for future growth. The role involves close collaboration with research coordinators, physicians, regulatory staff, data teams, and sponsors in a dynamic, fast-paced setting with approximately 33 open trials.
Floating Nurse Manager - RN $46/hr and LPN $40/hr- Ft. Wayne, IN and Surrounding areas.- Monday -Friday-Day Shift American Senior CommunitiesFloating Nurse Manager - RN $46/hr and LPN $40/hr- Ft. Wayne, IN and Surrounding areas.- Monday -Friday-Day ShiftFort Wayne, INMinimum of three years' clinical experience in geriatric care coupled with a minimum of one year experience as a departmental manager in the skilled nursing setting. Interpersonal Communication: Support a respectful and positive work environment by maintaining open, honest and effective communication with staff, residents, customers, and family.
Director of Nursing Services RN EagleCare LLCDirector of Nursing Services RNNew Castle, INFull timeCareer Growth: Access to preceptors and mentorship programs, clinical and leadership development pathways, education partnerships with colleges and universities across the state like Ivy Tech and Purdue Global, financial assistance for continuing education, company sponsored scholarship programs, and tuition reimbursement. Minimum of three years’ clinical experience in geriatric care coupled with a minimum of one year experience as a departmental manager in the skilled nursing setting.
Lactation II- Consultant - PRN NEW Indiana University Health IncLactation II- Consultant - PRN NEWBloomington, INUsing clinical expertise in assessment, diagnosis, planning, implementation, and evaluation, the Lactation Consultant II collaborates with a multidisciplinary team to enhance patient outcomes, advance the patient plan of care, and improve operational efficiency. We are seeking a dedicated Lactation Consultant II to provide comprehensive infant feeding services, support families through inpatient and outpatient care, and promote breastfeeding and maternal health.
Quality Improvement - Consultant NEW Indiana University Health IncQuality Improvement - Consultant NEWIndianapolis, INWe are seeking a dedicated Quality Improvement Consultant to develop, coordinate, and evaluate continuous quality improvement activities across assigned populations, supporting the organizations strategic goals and enhancing patient care outcomes. This role involves developing and implementing performance improvement initiatives, conducting staff and physician training on improvement methodologies, and promoting a culture of continuous quality enhancement across the organization.
Consultant-Accreditation and Regulatory Senior NEW Indiana University Health IncConsultant-Accreditation and Regulatory Senior NEWIndianapolis, INRequires current state of Indiana license as a healthcare professional (e.g., Registered Nurse with an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license, Respiratory Therapist, Pharmacist or Rehabilitation license.). Consults and advises key stakeholders and leaders on accreditation/regulatory interpretations, educates and facilitates survey preparation activities, manages and audits onside surveys, and serves as a liaison between the organization and its accreditation and regulatory bodies.
Clinical Manager - Lutherwood Referrals Community Health NetworkClinical Manager - Lutherwood ReferralsIndianapolis, INThe Manager is responsible for developing strong relationships with referral stakeholders over a multi-state region, serving as a clinical liaison with referral sources to advise on care placement, program development, as well as ensuring billing, authorizations, and collection processes are managed effectively. The Manager of Lutherwood Referral Services will supervise and be responsible for admissions to all MSA operated programs and be responsible for area operation metrics that include referral volume, ADC, referral responsiveness, and ICPR authorization performance.
Lactation Consultant Nutr(MHO) Beacon Health SystemLactation Consultant Nutr(MHO)South Bend, INThe role also demands familiarity with external breastfeeding resources, strong planning, organizational, and analytical abilities, excellent verbal and written communication skills, and proficiency in using audio-visual equipment and teaching materials to support effective education. As a Lactation Consultant, this role requires in-depth knowledge of lactation principles and the ability to effectively teach breastfeeding skills to mothers while delivering educational programs to individuals and groups of varying ages.
Hospice Care Consultant CompassusHospice Care ConsultantMuncie, INThis role focuses on growing hospice admissions by building strong relationships with healthcare providers, identifying eligible patients, and helping to ensure they are admitted quickly and appropriately. Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
Infection Control & Wound Nurse (LPN, RN) Trilogy Health Services LLCInfection Control & Wound Nurse (LPN, RN)Vincennes, INComplete review of fridge temps, FirstDose room temps BID, completion of crash cart audits, fall intervention check, med carts, HIPPA violations, TSS, and med rooms and report findings to the ADON, DON and the Executive Director. The Infection Control and Wound Nurse (LPN, RN) is responsible for assisting the Director of Nursing (DON) and Assistant Director of Nursing (ADON) by overseeing the wound care program to ensure that proper measures are taken for appropriate intervention and outlining treatment care plans.
Clinical Registered Dietitian â Part -Time Hybrid Opportunity RD Nutrition ConsultantsClinical Registered Dietitian â Part -Time Hybrid OpportunityNew Albany, IndianaRD Nutrition Consultants LLC is seeking a Clinical Registered Dietitian to provide nutrition services for a Critical Access Hospital and Long-Term Care facility located in Mississippi . We offer competitive compensation, flexible scheduling, paid travel time and mileage reimbursement, and a supportive team environment that allows our dietitians to thrive professionally while maintaining work-life balance.
Admissions & Medical Records Nurse (LPN, RN) Trilogy Health Services LLCAdmissions & Medical Records Nurse (LPN, RN)Indianapolis, INThe Admissions/Medical Records Nurse (LPN, RN) is responsible for overseeing the admissions intake and medical records functions of the Nursing Department(s) by assessing new residents and reviewing the baseline care plans with the nursing leadership team. Review high risk residents upon admission using fall risk assessment ensuring orders for preventative interventions are in place, care plan for interventions entered and CNA sheets/profiles are updated.
Infection Control & Wound Nurse (LPN, RN) Blair Ridge Health CampusInfection Control & Wound Nurse (LPN, RN)Peru, IndianaFull timeComplete review of fridge temps, FirstDose room temps BID, completion of crash cart audits, fall intervention check, med carts, HIPPA violations, TSS, and med rooms and report findings to the ADON, DON and the Executive Director. WHAT WE'RE LOOKING FOR: The Infection Control and Wound Nurse (LPN, RN) is responsible for assisting the Director of Nursing (DON) and Assistant Director of Nursing (ADON) by overseeing the wound care program to ensure that proper measures are taken for appropriate intervention and outlining treatment care plans. .
Certified Lactation Consultant AscensionCertified Lactation ConsultantIndianapolis, IndianaPart timeEducation: High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
Psychiatrist Consultant American Technology ConsultingPsychiatrist ConsultantIndianapolis, IndianaDifficulty of Work: Your work will require an advanced level of professional and technical knowledge and wide array of clinical and interpersonal skills commensurate with a licensed doctoral level professional required generating, interpreting, and synthesizing complex data both at the individual and the facility level. Lead Treatment Planning and Team Collaborationserves in a leadership capacity on treatment teams and take an active role in providing appropriate clinical direction in the development of individual treatment plans to ensure coordinated care.
Psychiatric Consultant American Technology ConsultingPsychiatric ConsultantIndianapolis, IndianaDifficulty of Work: Your work will require an advanced level of professional and technical knowledge and wide array of clinical and interpersonal skills commensurate with a licensed doctoral level professional required generating, interpreting, and synthesizing complex data both at the individual and the facility level. Lead Treatment Planning and Team Collaborationserves in a leadership capacity on treatment teams and take an active role in providing appropriate clinical direction in the development of individual treatment plans to ensure coordinated care.
Clinical Research Coordinator Actalent IncClinical Research CoordinatorIndianapolis, IN$28–$37 / hourThe coordinator will collaborate closely with nurses, physicians, regulatory and data teams, and sponsors in a fast-paced environment, contributing directly to the expansion of clinical research within two cancer centers and gaining opportunities for future growth. The role involves close collaboration with research nurses, physicians, regulatory staff, data teams, and sponsors in a dynamic, fast-paced setting with approximately 33 open trials.
Certified Lactation Consultant Ascension Health AllianceCertified Lactation ConsultantIndianapolis, INEducation: High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
Indiana Clinical Provider NP/IBCLC SimpliFedIndiana Clinical Provider NP/IBCLCINCOMPLETE EXAM FORMS IN FULL, INCLUDING, BUT NOT LIMITED TO, A RECORD OF THE START AND END TIMES OF THE VISIT AS WELL AS RELEVANT MEDICAL HISTORY, INTAKE, BABY WELLNESS, DIAGNOSIS AND PROCEDURE CODES FOR THE VISIT, BY CHECKING THE APPROPRIATE BOXES ON THE EXAM FORM. Providers, based on their respective professional fields, will assess patients and provide education on topics such as lactation, infant feeding, hypertension, gestational diabetes, anemia, thyroid levels, and maternal mental health to name a few.
Assistant Director of Nursing – Home Health (RN Leadership) Staffing Care ProAssistant Director of Nursing – Home Health (RN Leadership)Indianapolis, INFull timeStaffing Care Pro is seeking a licensed Registered Nurse (RN) with leadership experience to join our growing Home Health agency as Assistant Director of Nursing (ADON) . You'll support the Director of Nursing (DON) in overseeing operations, mentoring staff, ensuring regulatory compliance, and promoting high-quality, patient-centered care.
New & Upcoming RN Grads - Fort Wayne Hospital NEW Indiana University Health IncNew & Upcoming RN Grads - Fort Wayne Hospital NEWFort Wayne, INThis role begins at one of IU Health's established hospitals, including downtown Level 1 trauma/teaching hospitals Methodist & University, premier Indy suburban hospitals North and West, or regional hospitals Ball (Muncie), Bloomington, and Arnett (Lafayette). Start your IU Health nursing journey at one of our established hospitals now and gain the real-world experience, mentorship, and professional development needed to thrive when our brand-new, state-of-the-art Fort Wayne hospital opens.
Registered Nurse Educator ICU AscensionRegistered Nurse Educator ICUAnderson, IndianaFull timeConsult on the analysis, design, development, implementation, and evaluation of Nursing Professional Development (NPD) programs and performance processes that support core nursing and clinical competency across the organization. Serve as a strategic consultant for nursing clinical performance initiatives to create, implement, and evaluate multi-faceted competency-based programs, delivery mechanisms, and clinical performance.
Registered Nurse Educator Pediatric ER AscensionRegistered Nurse Educator Pediatric ERIndianapolis, IndianaPart timeConsult on the analysis, design, development, implementation, and evaluation of Nursing Professional Development (NPD) programs and performance processes that support core nursing and clinical competency across the organization. Serve as a strategic consultant for nursing clinical performance initiatives to create, implement, and evaluate multi-faceted competency-based programs, delivery mechanisms, and clinical performance.
Nurse Educator, Surgical Services Trinity HealthNurse Educator, Surgical ServicesMishawaka, INDescription: The Nurse Educator of Surgical Services supports the ongoing education, competencies, training, onboarding, and orientation of the staff in all surgical services areas: OR, PACU, GI lab, IR, Cath lab, etc. in addition to house-wide responsibilities. Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs.
Nurse Practitioner Comprehensive Rehab ConsultantsNurse PractitionerValparaiso, IN$95,000–$125,000Engage in culture building opportunities and ongoing education including monthly Didactic lectures, virtual meetings with your Regional Team, and annual, regional dinners to meet your nearby colleagues. With a growing company comes growth opportunities: we self-promote to our leadership positions and encourage our clinicians to become clinical leaders by providing in-services to facility staff and training other CRC clinicians in the region.
Wound Ostomy Continence Nurse - RN 219 Health NetworkWound Ostomy Continence Nurse - RNEast Chicago, INIdentifies division education needs and collaborates with the Nurse Practitioners or Director of Wound Ostomy Services and the Education Department to provide formal and informal experiences to meet them. Collaborates with the Nurse Practitioners or Director of Wound Ostomy Services, other divisions and disciplines regarding needs, plans for change and quality of care issues.
Care Transition RN MHO Beacon Health SystemCare Transition RN MHOSouth Bend, INFacilitates care transitions and discharge readiness to ensure highquality, efficient patient flow by: Facilitating multidisciplinary walking rounds on assigned unit(s), ensuring clear daily plans of care and anticipated discharge timelines. This role functions as a hands-on clinical coordinator, working in real time with physicians, nursing, case management, ancillary departments, and procedural areas to expedite diagnostics, procedures, consults, and discharge readiness.