NewTravel CVICU Registered Nurse - $2,362 per week Skyline Med Staff NursingTravel CVICU Registered Nurse - $2,362 per weekTowson, MDSkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment.
NewTravel LTAC ICU RN - $1,985 per week Skyline Med Staff NursingTravel LTAC ICU RN - $1,985 per weekBaltimore, MDMinimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals.
NewTravel Labor and Delivery RN - $2,171 per week Skyline Med Staff NursingTravel Labor and Delivery RN - $2,171 per weekBaltimore, MDSkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment.
NewTravel ICU RN - $2,111 per week Skyline Med Staff NursingTravel ICU RN - $2,111 per weekBaltimore, MDSkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment.
NewTravel OR RN - $2,264 per week Skyline Med Staff NursingTravel OR RN - $2,264 per weekArlington, VASkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment.
NewTravel ER Charge RN - $1,884 per week Skyline Med Staff NursingTravel ER Charge RN - $1,884 per weekOlney, MDSkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment.
NewTravel GI Endoscopy RN - $2,297 per week American TravelerTravel GI Endoscopy RN - $2,297 per weekWashington, DCAmerican Traveler is seeking an experienced RN - Endoscopy for a 13-week travel contract requiring a minimum of 2 years of endoscopy experience and an active DC RN license. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
NewTravel Cath Lab RN Circulator - $3,195 per week Skyline Med Staff Home HealthTravel Cath Lab RN Circulator - $3,195 per weekArlington, VAMinimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals.
NewTravel RN Case Manager - $1,559 per week GQR HealthcareTravel RN Case Manager - $1,559 per weekBaltimore, MD$1,558.85–$1,653.85Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry. In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives.
NewTravel RN Case Manager - $1,963 per week American TravelerTravel RN Case Manager - $1,963 per weekBaltimore, MDAmerican Traveler is seeking an experienced RN Case Manager for an adult inpatient case management role at a large academic medical center, requiring active RN licensure and current inpatient case management experience. Coordinates care for a select caseload of adult patients from triage through discharge, including transition planning to post-acute settings such as nursing facilities, acute inpatient rehab, or community resources.
NewTravel Nursery RN - $1,920 per week American TravelerTravel Nursery RN - $1,920 per weekBaltimore, MDClinical skills include newborn assessment, phototherapy, thermoregulation, IV antibiotics, metabolic screening, cord care, neonatal abstinence syndrome care, and car seat education. American Traveler is hiring an experienced RN for a Special Care Nursery (Level II) position requiring prior travel experience, charge experience, and delivery room background.
NewUrgent Care Nurse Practitioner - Remote Included HealthUrgent Care Nurse Practitioner - RemoteWashington DC, DCRemote$98,400–$108,450 / hourIn this role, youll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. Were seeking board certified Nurse Practitioners licensed in Florida AND 3 other states with broad clinical expertise and a passion for improving healthcare access and quality.
NewTravel Home Health RN Case Manager - $2,372 per week Skyline Med Staff Home HealthTravel Home Health RN Case Manager - $2,372 per weekBaltimore, MDMinimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals.
NewTravel Hospice RN - $2,532 per week Skyline Med Staff Home HealthTravel Hospice RN - $2,532 per weekBaltimore, MDMinimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals.
NewTravel Home Health RN - $2,177 per week Skyline Med Staff Home HealthTravel Home Health RN - $2,177 per weekGreenbelt, MDMinimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals.
NewClinical Reimbursement Coordinator, RN Doctors Community Rehab CtrClinical Reimbursement Coordinator, RNLanham, MD$45–$52As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. *Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
NewTravel EP Lab RN - $2,345 per week Skyline Med Staff Home HealthTravel EP Lab RN - $2,345 per weekSilver Spring, MDMinimum of 1 year recent work experience in the specialty of the job applying for 2. A current BLS/CPR certification through American Heart Association 3. Active License in the state of the job location We look forward to connecting and working with you to find your next job opportunity! Skyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals.
NewTravel LTAC ICU RN - $2,026 per week GLC On-The-GoTravel LTAC ICU RN - $2,026 per weekBaltimore, MD$1,925–$2,026 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewTravel OR RN - $2,545 per week GLC On-The-GoTravel OR RN - $2,545 per weekOlney, MD$2,418–$2,545 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
Travel ER RN - $1,843 per week GLC On-The-GoTravel ER RN - $1,843 per weekOlney, MD$1,751–$1,843 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
Travel Labor and Delivery RN - $2,102 per week GLC On-The-GoTravel Labor and Delivery RN - $2,102 per weekBaltimore, MD$1,996–$2,102 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewTravel CVOR RN - $2,567 per week GLC On-The-GoTravel CVOR RN - $2,567 per weekWashington, DC$2,439–$2,567 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewTravel Chemo RN - $1,998 per week GLC On-The-GoTravel Chemo RN - $1,998 per weekWashington, DC$1,898–$1,998 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewTravel Nursery RN - $1,843 per week GLC On-The-GoTravel Nursery RN - $1,843 per weekBaltimore, MD$1,751–$1,843 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewTravel Outpatient RN - Blood Marrow Collection - $1,973 per week GLC On-The-GoTravel Outpatient RN - Blood Marrow Collection - $1,973 per weekWashington, DC$1,874–$1,973 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewTravel ER Charge RN - $1,843 per week GLC On-The-GoTravel ER Charge RN - $1,843 per weekOlney, MD$1,751–$1,843 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
NewRegistered Nurse, Medical | DAY SHIFT | Part Time LifeBridge HealthRegistered Nurse, Medical | DAY SHIFT | Part TimeBaltimore, MDAssesses and documents patient/family educational needs: to aid in informed decision making about healthcare treatment and to provide a successful transfer within the healthcare environment; Maintains a safe environment for patient and family Develops and coordinates discharge plans, independently or in collaboration with other staff Demonstrates critical thinking, problem solving skills, professional behavior, and customer service. A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
MEDICAL SERVICES REVIEWING NURSE II State of MarylandMEDICAL SERVICES REVIEWING NURSE IIBaltimore City, MDThis position will utilize specialized nursing knowledge, medical coding knowledge, certifications and extensive experience in Current Procedural Terminology coding (CPT), Internal Classification of Disease coding (ICD-10), and Healthcare Common Procedure Coding (HCPCS), coding conventions, as well as general billing experience.  This position will also utilize required knowledge and experience in nursing and supervision, as well as knowledge of State and federal regulations along with thorough comprehension of medical and surgical terminology is essential in order to make definitive decisions as they pertain to regulatory compliance. Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing, 4140 Patterson Avenue, Baltimore, Maryland 21215 or possess a current multi-state license in party states that candidates have declared as primary states of residence.
QUALITY PEER REVIEW (RN) - OB/ORTHO University Health Services IncQUALITY PEER REVIEW (RN) - OB/ORTHOWASHINGTON, DCWebsite: www.gwuhospital.com Quality Peer Review - RN - OB/ORTHO Assist in the implementation of Hospital Quality Assurance, Management and Improvement by collecting, reporting, and analyzing data; identifying and addressing opportunities for improvement; coordinating activities, and supporting the development and implementation of medical staff and hospital service performance improvement initiatives. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
NewRegistered Nurse Utilization Review AscensionRegistered Nurse Utilization ReviewBaltimore, Maryland$84,094.40–$120,120 / yearFull timeCoordinate seamless transitions by collaborating with the healthcare team to build safe, effective discharge plans that set patients up for success long after they leave our facility. 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.
Utilization Review RN, Care Coordination, Bethesda West, FT, 8A-4:30P-159236 Baptist Health South Florida IncUtilization Review RN, Care Coordination, Bethesda West, FT, 8A-4:30P-159236Bethesda, MDOur approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support Comprehensive health and wellness resources that go beyond traditional benefits A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs Tuition reimbursement to support continued learning and advancement And so much more Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day. Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Licensed Practical Nurse - LPN LVN Fresenius Medical CareLicensed Practical Nurse - LPN LVNBaltimore, Maryland$24–$38 / hourSupports the FKC commitment to the Quality Enhancement Program (QEP) and Quality Assurance Indicators (QAI) activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP). Education: Assists other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Wellness Nurse LPN LVN Sunrise Senior LivingWellness Nurse LPN LVNBethesda, MDUnderstand 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 in compliance with universal care precautions. Transcribe physician orders Medication Administration Record Treatment Administration Record (MAR/TAR) to include initials, date and time ‘noted’, and date faxed to pharmacy accurately and promptly.
Licensed Practical Nurse - LPN LVN Fresenius Medical Care AG & Co KGaALicensed Practical Nurse - LPN LVNBaltimore, MD$24–$38 / hourSupports the FKC commitment to the Quality Enhancement Program (QEP) and Quality Assurance Indicators (QAI) activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP). PURPOSE AND SCOPE: Functions as a member of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a registered nurse in accordance with Fresenius Kidney Care (FKC) policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.
Registered Nurse (RN) and Nurse LPN- Veteran Pathway Tyson Foods IncRegistered Nurse (RN) and Nurse LPN- Veteran PathwayBaltimore, MD$23.08–$38.46 / hourPhysical Requirements: Must be able to walk unassisted through the plant, quickly respond to medical emergencies, climb stairs, assess team members swiftly, and perform CPR if required; ensure team members and supervisors are following prescribed modified restricted duty requirements. Relevant Backgrounds May Include (Not Required): Army: 68W (Combat Medic Specialist), 68C (Practical Nursing Specialist), 68D (Operating Room Specialist), 68X (Behavioral Health Specialist).
Clinical Appeals Nurse (Remote) Blue Cross and Blue Shield AssociationClinical Appeals Nurse (Remote)DCRemote$67,320–$133,705 / yearThe Clinical Appeals Nurse utilizes clinical skills and knowledge of all applicable State and Federal rules and regulations that govern the appeal process for Government Program lines of business to formulate a professional written response to the appeal or grievance request. Investigates, interprets, analyzes and prioritizes appeal and grievance requests using nursing expert knowledge and all available clinical information for both medical and behavioral health conditions, as well as medical policies, to determine if the adverse coverage and adverse decisions are appropriate.
Clinical Research Nurse Coordinator Pharmaron Beijing Co LtdClinical Research Nurse CoordinatorBaltimore, MD$100–$113 / yearFounded in 2004, Pharmaron has invested in its people and facilities and established a broad spectrum of research, development, and manufacturing service capabilities throughout the entire drug discovery, preclinical, and clinical development process across multiple therapeutic modalities, including small molecules, biologics, and CGT products. This role requires a licensed Registered Nurse with proven clinical experience, preferably in a research setting, who is capable of working independently and collaboratively to ensure the safety, well-being, and informed consent of all research participants.
NewLicensed Practical Nurse (LPN) - Eveningshift, Baltimore, MD HiredFirstLicensed Practical Nurse (LPN) - Eveningshift, Baltimore, MDBaltimore, MD$35.50Experience in a skilled nursing facility, rehabilitation, long-term care, or similar settings is preferred. Job Title: Licensed Practical Nurse - LPN .
NewLicensed Practical Nurse (LPN) - Nighthift, Baltimore, MD HiredFirstLicensed Practical Nurse (LPN) - Nighthift, Baltimore, MDBaltimore, MD$36.45Experience in a skilled nursing facility, rehabilitation, long-term care, or similar settings is preferred. Job Title: Licensed Practical Nurse - LPN .
RN Supervisor PT12 (7:00pm-7:30am) Weekend Maryland Masonic HomesRN Supervisor PT12 (7:00pm-7:30am) WeekendCockeysville, MDDevelops and maintains a good working rapport with inter-departmental personnel, as well as other departments within the facility to assure that Nursing services and activities can be adequately maintained to meet the needs of the residents. • Provides leadership during evening/night shifts to ensure residents, families and employee concerns are addressed in a timely and appropriate manner and communicated to appropriate department head.
Licensed Practical Nurse (LPN) Victory Housing IncLicensed Practical Nurse (LPN)Bethesda, MD$70,000–$75,000 / yearResponsible for the monthly change-over of medication cards; accuracy of monthly medication delivery from Order to MAR; training staff on new medications, parameters, orders and special conditions; as well as updating the Emergency Sheet (electronically and hard copy). Coordinate services of outside agencies providing health care or other assistance to residents, including home health agencies, physical therapists, hospice, laboratories, durable medical equipment suppliers and other professional services.
Licensed Practical Nurse (LPN) - Full-Time Day Shift Victory Housing IncLicensed Practical Nurse (LPN) - Full-Time Day ShiftRockville, MD$70,000–$75,000 / yearResponsible for the monthly change-over of medication cards; accuracy of monthly medication delivery from Order to MAR; training staff on new medications, parameters, orders and special conditions; as well as updating the Emergency Sheet (electronically and hard copy). Coordinate services of outside agencies providing health care or other assistance to residents, including home health agencies, physical therapists, hospice, laboratories, durable medical equipment suppliers and other professional services.
Manager Of Hospital Programs NP Greater Baltimore Medical CenterManager Of Hospital Programs NPHunt Valley, MD$86,688.82–$146,580.64 / yearUnder limited supervision, the Manager of Mobile Hospice Response Team (MHRT) plans, implements and manages all administrative, personnel, and operational activities of the Mobile Hospice Response Program. Philanthropy - establish working relationship with the Gilchrist Philanthropy Department and assists them with the development of a Strategic Development plan to secure contributions for the Advanced Illness Management Program.
Health and Wellness Nurse Victory Housing IncHealth and Wellness NurseMD$104,000–$115,500 / yearResponsible for the monthly change-over of medication cards, accuracy of monthly medication delivery from Order to MAR, training staff on new medications, parameters, orders, and special conditions, as well as updating the Emergency Sheet electronically and hard copy. Coordinate services of outside agencies providing health care or other assistance to residents including home health agencies, physical therapists, hospice, laboratories, durable medical equipment suppliers, and other professional services.
Manager of Hospital Programs NP Greater Baltimore Medical CenterManager of Hospital Programs NPMD$86,688.82–$146,580.64 / yearUnder limited supervision, the Manager of Mobile Hospice Response Team (MHRT) plans, implements and manages all administrative, personnel, and operational activities of the Mobile Hospice Response Program. Philanthropy - establish working relationship with the Gilchrist Philanthropy Department and assists them with the development of a Strategic Development plan to secure contributions for the Advanced Illness Management Program.
Licensed Practical Nurse (LPN) - Full-Time Day Shift Raphael HouseLicensed Practical Nurse (LPN) - Full-Time Day ShiftRockville, MarylandResponsible for the monthly change-over of medication cards; accuracy of monthly medication delivery from Order to MAR; training staff on new medications, parameters, orders and special conditions; as well as updating the Emergency Sheet (electronically and hard copy). Coordinate services of outside agencies providing health care or other assistance to residents, including home health agencies, physical therapists, hospice, laboratories, durable medical equipment suppliers and other professional services.
Preschool Consortium Nurse Morris School DistrictPreschool Consortium NurseMD$67,095–$116,805 / yearRESPONSIBILITIES: The responsibilities of the Preschool Consortium Nurse include but are not limited to: Review Preschool Consortium contracted partner paperwork ensuring that preschool health screenings (vision, hearing, dental, height, and weight screenings)have been completed at Preschool Consortium contracted preschool centers. Employees of the Morris School District hired after the effective date who do not reside in the State of New Jersey at the time of hire have one year from the effective date of employment to relocate their primary residence to New Jersey.
Registered Nurse (51935) Gap Solutions, Inc.Registered Nurse (51935)Rockville, MDBranch staff work cooperatively with funded extramural investigators, clinical coordinators, CROs and other study personnel to support the development of study protocols, informed consent forms and other pertinent documents and continue to do so during the conduct of these studies. Contribute to all study related IRB and regulatory matters, including all reporting requirements (including deviations, unanticipated problems, adverse events) and report issues and variance promptly to the research team.
Utilization Management Nurse Specialist Lumen Solutions Group, Inc.Utilization Management Nurse SpecialistBaltimore, MDRemoteWe are seeking an experienced Utilization Management Nurse Specialist to support care management and utilization review activities for Medicare, Medicaid, and other government healthcare programs. This role requires an independent, detail-oriented nursing professional who can effectively collaborate with interdisciplinary teams while ensuring appropriate utilization of healthcare services and adherence to clinical and regulatory requirements.
Research Nurse Guidehouse IncResearch NurseRockville, MD$98,000–$163,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Monitor activities pertaining to clinical protocols such as monitoring patient recruitment and retention, trial progress, and the need for extension or renewal of ongoing trials.