NewProject Manager-Mechanical Construction Kimmel & AssociatesProject Manager-Mechanical ConstructionNashville, TN$130,000–$160,000 / yearThis role serves as the primary point of contact for owners, architects, engineers, subcontractors, and internal project teams, while providing leadership and mentorship to Assistant Project Managers, Superintendents, Foremen, and field personnel. Our client is a well-established and highly respected mechanical contractor with a long-standing reputation for delivering complex mechanical systems for some of the Southeast's most recognizable commercial and industrial projects.
Assistant Manager - Truck Service TravelCenters of America IncAssistant Manager - Truck ServiceAntioch, TNDriven by a passionate team, TA is focused on growing its network of travel centers, implementing cutting edge technology and embarking on innovative alternative energy and sustainability initiatives. For more than 50 years, millions of professional truck drivers and motorists have called our travel centers home, depending on us daily for fuel, food, truck maintenance and essential services.
Assistant Facilities Manager JLLAssistant Facilities ManagerNashville, TNWhether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. This role combines customer-facing concierge services, technical work order coordination, and proactive facilities management to create seamless experiences for tenants and visitors.
T Mobile Authorized Retailer Assistant Manager Luna Wireless, An Authorized T-Mobile Retailer (Central)T Mobile Authorized Retailer Assistant ManagerSmyrna, TNFull timeThe Retail Assistant Manager works in partnership with the Store Manager to lead and develop the store team to deliver T-Mobile’s aspirations of earning a place in our customers’ hearts and Mobile Associate success. At Luna Wireless, A T-Mobile Premium Retailer, we strongly encourage everyone, including people of color, veterans, military spouses, individuals with disabilities, lesbian, gay, bisexual, transgender, queer and non-binary people, and parents to apply.
Assistant General Manager- Sports Illustrated Resort- Nashville Wyndham Hotels & ResortsAssistant General Manager- Sports Illustrated Resort- NashvilleNashville, TennesseeThe Assistant General Manager is responsible for various financial aspects of the resort and for ensuring all relationships with our guests, associates, sales, vendors and board members are maintained positively and professionally at all times. Travel + Leisure Co. is the world’s leading vacation ownership and travel membership company, with a dynamic and growing portfolio of resort, travel club, and lifestyle travel brands.
Life Enrichment Assistant - AdamsPlace National HealthCare CorpLife Enrichment Assistant - AdamsPlaceMurfreesboro, TNWe're looking for an upbeat, imaginative team member who loves making seniors smile and turning everyday moments into something meaningful. What You'll Do: Plan and lead engaging, feel‑good activities for our Rehab residents.
NewCardiology Nurse Practitioner AscensionCardiology Nurse PractitionerNashville, TennesseeFull timeLicensed Registered Nurse credentialed from the Tennessee 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. Central clinical anchor within multidisciplinary team bridging complex patient care, inpatient and outpatient management, and procedural planning.
Occupational Therapist Home Health-PRN Humana IncOccupational Therapist Home Health-PRNNashville, TN$85,400–$117,500 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Occupational Therapist IRF HCA HealthcareOccupational Therapist IRFNashville, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Working closely with physicians and an interdisciplinary care team, you will evaluate needs, develop individualized care plans, and provide hands-on treatment that supports recovery through every stage of healing.
NewPhysical Therapist PRN HCA HealthcarePhysical Therapist PRNSmyrna, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Working closely with physicians and the care team, you’ll assess each patient’s needs and create personalized therapy plans designed around meaningful goals, active engagement, and exceptional patient outcomes.
NewTalent Acquisition Specialist AmSurg CorpTalent Acquisition SpecialistNashville, TNRemoteThe Talent Acquisition Specialist partners closely with leaders to understand workforce planning needs, develop proactive sourcing strategies, and build robust talent pipelines for both current and future hiring needs. This role serves as a strategic talent advisor to hiring managers and business leaders, driving recruitment strategies that attract, engage, and hire top talent while ensuring an exceptional candidate experience.
Communication Studies (Rhetoric and Public Address), Tenure-Track Faculty MTSU JobsCommunication Studies (Rhetoric and Public Address), Tenure-Track FacultyMurfreesboro, TennesseeClery Act crime statistics for MTSU are available at https://www.mtsu.edu/police/docs/2023AnnualSecurityReport.pdf or by contacting MTSU Public Safety at (615) 898-2424. The Department of Communication Studies at Middle Tennessee State University invites applicants for a full-time, tenure-track faculty position (#130090) in Rhetoric and Public Address at the rank of assistant or associate professor.
Journalism (Sports Media), Tenure-Track Faculty MTSU JobsJournalism (Sports Media), Tenure-Track FacultyMurfreesboro, TennesseeThe ACEJMC-accredited School of Journalism and Strategic Media at Middle Tennessee State University invites applications for a full-time, tenure-track position (#143060) in our rapidly-growing Sports Media program at the rank of assistant or associate professor. Clery Act crime statistics for MTSU are available at https://www.mtsu.edu/police/docs/2023AnnualSecurityReport.pdf or by contacting MTSU Public Safety at (615) 898-2424.
Senior Director, Assistant Controller MetropolisSenior Director, Assistant ControllerNashville, TN$200,000–$240,000 / yearDesign and enforce scalable internal controls (SOX readiness) and corporate policies, leading complex technical accounting (ASC 606, ASC 842, ASC 805) and global consolidations. The actual base salary offered is determined by a number of variables, including, as appropriate, the applicant's qualifications for the position, years of relevant experience, distinctive skills, level of education attained, certifications or other professional licenses held, and the location of residence and/or place of employment.
Surgical Critical Care Intensivist/Nocturnist Ascension Health AllianceSurgical Critical Care Intensivist/NocturnistMurfreesboro, TNThe hospital campus is currently undergoing a $110M expansion project, which includes the addition of 36 new high acuity beds, a parking garage dedicated to hospital employees and physicians, 18 new critical care unit beds, six additional NICU bassinets, 17 new post-surgery bays. One of the largest healthcare providers in the state, offering rewarding careers across 50 specialties in 16 hospital campuses and more than 250 sites of care through a comprehensive network of affiliated joint ventures, medical practices, clinics, and rehabilitation facilities.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNashville, TN$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Family Medicine Physician Ascension Health AllianceFamily Medicine PhysicianBrentwood, TNOur 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. Close proximity to downtown Nashville, Brentwood retains a lush, natural aesthetic with a low population density and large, family-oriented homes.
New["Senior Coordinator, Operations & Events","Senior Coordinator, Operations & Events"] Vanderbilt University Medical Center["Senior Coordinator, Operations & Events","Senior Coordinator, Operations & Events"]NashvilleStaff Development and Training Lead efforts to recruit, hire, train, schedule, and supervise student staff to assist in Student Centers operations, including event management and event setups, to provide excellent hospitality and event services to customers and clients utilizing the event spaces. In addition, this position will engage with student leaders and student organizations, sell and market event spaces to all stakeholders and plan, manage and execute high profile events taking place in Student Centers facilities, including but not limited to the Chancellor's Office, Provost Office, Summer Conferences and Corporate events.
ASSISTANT BUYER Dollar GeneralASSISTANT BUYERGOODLETTSVILLE, TennesseeFull timeEvery day.® by offering products that are frequently used and replenished, such as food, snacks, health and beauty aids, cleaning supplies, basic apparel, housewares and seasonal items at everyday low prices in convenient neighborhood locations. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
Care Partner (Adult Float Pool) Days - VUH Vanderbilt HealthCare Partner (Adult Float Pool) Days - VUHNashville, TNDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner.-
Monitored Transport Care Partner (Float Pool) Days Vanderbilt HealthMonitored Transport Care Partner (Float Pool) DaysNashville, TNDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. PLANNING & ORGANIZING (Novice): Demonstrates ability to anticipate basic resource needs, identify discrete tasks, participates in goal setting, define dependencies, schedule activities, meet deadlines, and organize work for own assignments and responsibilities.
Care Partner (Adult Float Pool) Nights - VUH Vanderbilt HealthCare Partner (Adult Float Pool) Nights - VUHNashville, TNDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner.-
Monitored Transport Care Partner (Float Pool) Days Vanderbilt University Medical CenterMonitored Transport Care Partner (Float Pool) DaysNashville, TNDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. PLANNING & ORGANIZING (Novice): Demonstrates ability to anticipate basic resource needs, identify discrete tasks, participates in goal setting, define dependencies, schedule activities, meet deadlines, and organize work for own assignments and responsibilities.
NewCare Partner (Adult Float Pool) Nights - VUH Vanderbilt University Medical CenterCare Partner (Adult Float Pool) Nights - VUHNashville, TennesseeDiscover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. High School Diploma or GED (Required) This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
NewCare Partner (Adult Float Pool) Days - VUH Vanderbilt University Medical CenterCare Partner (Adult Float Pool) Days - VUHNashville, TennesseeDiscover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. High School Diploma or GED (Required) This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
Senior Coordinator, Operations & Events Vanderbilt UniversitySenior Coordinator, Operations & EventsNashville, TNIn addition, this position will engage with student leaders and student organizations, sell and market event spaces to all stakeholders and plan, manage and execute high profile events taking place in Student Centers facilities, including but not limited to the Chancellor''s Office, Provost Office, Summer Conferences and Corporate events. Lead efforts to recruit, hire, train, schedule, and supervise student staff to assist in Student Centers operations, including event management and event setups, to provide excellent hospitality and event services to customers and clients utilizing the event spaces.
Store Manager The Home Depot IncStore ManagerNashville, TNSMs are responsible for achieving profitability in their stores by coaching and developing associates to drive sales through providing great customer service, resolving people issues, utilizing financial and store reports to identify operational opportunities, monitoring market trends and competition and executing effective game plans to consistently improve in all of these areas. 20% Support the implementation and monitoring of pilot programs and new store initiatives to improve simplification in the stores; Evaluate in-stock levels of merchandise and ensure follow-through by store management on resolving out of stocks; Maximize turns by driving Green/Reduced Tag and Clearance processes.
Registered Nurse - RN - Dialysis Fresenius Medical CareRegistered Nurse - RN - DialysisFranklin, TennesseeAssigned oversight of RNs, LPNs/LVNs, Patient Care Technicians and Home Therapies Care Team Assistants as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility and area level.
NewSTATE FORESTS PROGRAM SPECIALIST - 08042026-79609 State of TennesseeSTATE FORESTS PROGRAM SPECIALIST - 08042026-79609Nashville, TNUnder general supervision, is responsible for coordinating the forest management and protection activities to include planning, prevention, detection, suppression, monitoring, and logistics for specialized forestry or fire management work of statewide or district-wide related programs of considerable difficulty and performs related work as required. Education and Experience: Graduation from an accredited college or university with a bachelor's degree and three years of full-time experience in one or a combination of the following: wildland firefighting, fire science/management, natural resource data science, watershed management/hydrology, reforestation, forest management, Geographic Information Systems (GIS), urban natural resource management, or acceptable related field.
Veterinary Clinical Staff Manager - Murfreesboro, TN Veterinary Emergency Group (VEG)Veterinary Clinical Staff Manager - Murfreesboro, TNNashville, TNDirectly responsible for interviewing, hiring and training a diverse group of new VEG Credentialed Veterinary Technicians and Veterinary Assistants in partnership with the other leadership team members, particularly the Medical Director and Regional Support Staff Director. CSMs provide their VEGgies with equitable support, tools, resources, and autonomy necessary to create an environment of high medical quality and care so that VEG is the best hospital for emergency professionals who will brag about their jobs and make their friends jealous.
New Graduate Physical Therapist - Full-time Select Specialty Hospital - NashvilleNew Graduate Physical Therapist - Full-timeNashville, TennesseeSelect Specialty Hospital - Nashville is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Physical Therapists (PT) play a central role in providing compassionate, excellent treatment every step of the way.
Physical Therapist - Full-time Select Specialty Hospital - NashvillePhysical Therapist - Full-timeNashville, TennesseeSelect Specialty Hospital - Nashville is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Physical Therapists (PT) play a central role in providing compassionate, excellent treatment every step of the way.
Resident Assistant/CNA - Assisted Living Morning Pointe Senior LivingResident Assistant/CNA - Assisted LivingFranklin, TNThe typical work of a Resident Assistant can include: Providing assistance with activities of daily living to meet the resident's physical, emotional, intellectual, social and spiritual needs with respect and dignity. Assisted Living, Personal Care, and Alzheimer’s services are provided in a caring, secure environment that promotes hospitality and dignity while maintaining an independent quality of life.
Travel Occupational Therapist (OT) - $1,423 to $1,715 per week in Nashville, TN Fusion Medical StaffingTravel Occupational Therapist (OT) - $1,423 to $1,715 per week in Nashville, TNNashville, TN$1,423–$1,715Summary: The Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient's unique goals.
Travel Occupational Therapist (OT) - $1,671 to $2,013 per week in Nashville, TN Fusion Medical StaffingTravel Occupational Therapist (OT) - $1,671 to $2,013 per week in Nashville, TNNashville, TN$1,671–$2,013Summary: The Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient's unique goals.
Board Certified Behavior Analyst (BCBA) TEEMA GroupBoard Certified Behavior Analyst (BCBA)Smyrna, TN$70,000–$80,000This role includes leading, supervising, and supporting a team of Behavior Technicians and caregivers to ensure successful delivery of treatment and ongoing patient progress. Timely creation of reports, including progress reports, Individualized Education Program (IEP) goals, and assessments with support from the Assistant Director.
Store Manager - Opry Mills Outlet Pandora ASStore Manager - Opry Mills OutletNashville, TN$62,400–$78,000 / yearBuild your network and inspire to bring the best talent into Pandora across seasonal and core hiring including Assistant Store Manager, Sales Associates and Sales Leads. Utilize your brilliance across talent, brand, operations, and fan experience, guaranteeing the timely implementation of visual merchandising directives, efficient operational processes, and continuous talent development.
["Donation Express Lead","Donation Express Lead"] Goodwill["Donation Express Lead","Donation Express Lead"]NashvilleMust have the ability to provide a consistently mature, neat, clean image for Goodwill Industries.### About UsGoodwill Industries of Middle Tennessee's mission is to change lives through education, training, and employment.**Full-Time One (1) year of experience working with and effectively managing people is required.**Knowledge and Skills*** Self-motivated to work independently toward agreed upon goals and objectives.*
Assistant Property Manager Weinstein PropertiesAssistant Property ManagerNashville, TNGive great customer service to our residents, assist them with any needs they have such as going over their renewal, notice to vacate, early termination, adding a pet, wanting to transfer to another apartment home, answering questions about their account. Work along side maintenance, walk apartments when they are ready to confirm everything looks great, monitor property needs, follow up with residents about work orders or any maintenance needs they have.
Resident Assistant Harmony Senior ServicesResident AssistantMurfreesboro, TennesseeReports incidents involving residents to include care concerns or issues, to appropriate individuals (ex: HCD, RN/LPN, or ED)Must maintain a working knowledge of all policies and procedures pertaining to the positionAssists residents with activities of daily livingPerform housekeeping duties, such as making resident beds, cleaning resident apartments, common areas, dining room, etc. The Resident Assistant/Personal Care Aide (PCA) provides quality care and assistance with activities of daily living to residents of the community.
Resident Assistant--FT Days Harmony Senior ServicesResident Assistant--FT DaysMurfreesboro, TennesseeThe Resident Assistant/Personal Care Aide (PCA) provides quality care and assistance with activities of daily living to residents of the community. Reports incidents involving residents to include care concerns or issues, to appropriate individuals (ex: HCD, RN/LPN, or ED).
Resident Assistant (Part-Time)-3 Harmony Senior ServicesResident Assistant (Part-Time)-3Murfreesboro, TennesseeReports incidents involving residents to include care concerns or issues, to appropriate individuals (ex: HCD, RN/LPN, or ED)Must maintain a working knowledge of all policies and procedures pertaining to the positionAssists residents with activities of daily livingPerform housekeeping duties, such as making resident beds, cleaning resident apartments, common areas, dining room, etc. The Resident Assistant/Personal Care Aide (PCA) provides quality care and assistance with activities of daily living to residents of the community.
Neurologist Ascension Health AllianceNeurologistNashville, TNConduct thorough neurological examinations to diagnose and treat a diverse patient panel presenting with balance disorders, dementia/Alzheimer's, migraines, multiple sclerosis, Parkinson's, peripheral neuropathy, and acute or chronic stroke. The Bellevue Neurology team treats a wide spectrum of neurological conditions and partners directly with the broader Ascension Saint Thomas network for integrated care.
Driller Assistant/Exploration Team Member I Terracon Consultants IncDriller Assistant/Exploration Team Member INashville, TNETMs will perform daily tasks including survey and locate drilling points; conduct site reconnaissance; load/unload tooling, materials and samples; classify soil and rock samples; perform routine maintenance and basic repairs on drilling equipment, prepare internal (daily field forms) and external (DOT Logs) paperwork. Drill methods may include auger drilling, mud rotary drilling, air rotary drilling, and diamond bit coring techniques.
Lead Anthropic Forward Deployed Engineer - GPS Deloitte Touche Tohmatsu LtdLead Anthropic Forward Deployed Engineer - GPSNashville, TN$189,200–$372,900 / yearAs a Lead Anthropic FDE, you will serve as the senior practitioner-leader embedded directly with our most strategic clients, leading forward-deployed engineering pods that develop and deploy GenAI solutions into production for Deloitte's most strategic clients. Cross-Functional Pod Leadership & Program Governance: Lead FDE pods of 2-5 onshore anchored and offshore supported engineers, owning execution, resource management, escalations and overall delivery health.
Lead Palantir Forward Deployed Engineer - GPS Deloitte Touche Tohmatsu LtdLead Palantir Forward Deployed Engineer - GPSNashville, TNAs a Lead Palantir FDE, you will serve as the senior practitioner-leader embedded directly with our most strategic clients, leading forward-deployed engineering pods that develop and deploy GenAI solutions into production for Deloitte's most strategic clients. Our offerings help clients innovate, enhance and operate their data, AI, and analytics capabilities, ensuring they can mature and scale effectively with organizational intelligence programs and differentiated strategies to win in their chosen markets.
Neurohospitalist PA Ascension Health AllianceNeurohospitalist PANashville, TNOur 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. Physician Assistant credentialed from the Tennessee Committee on Physicians Assistants obtained prior to hire date or job transfer date required.
Mortgage Loan Originator Jet Direct MortgageMortgage Loan OriginatorNashville, TNWe believe in empowering our originators, which is why weve implemented cutting-edge tools, including: World-Class Origination Software & CRM Intuitive Mobile Mortgage Application Technology Advanced Marketing Automation Platform Comprehensive Data Reporting & Analytic Software. Your Role and What Youll Bring to Our Team We are looking for experienced, ethical, and passionate professionals ready to join us as Mortgage Loan Officers/Originators (MLOs).
DIRECTOR OF ASSET MANAGEMENT - 77867 State of TennesseeDIRECTOR OF ASSET MANAGEMENT - 77867Nashville, TN$89,496–$143,220 / yearJob Overview: This is a working leadership role and is expected to both lead and develop the Departments asset management professionals across the state while also supporting hands-on execution of the Departments Central Office property functions, as needed. The position supervises Central Office asset management staff and works closely with decentralized staff including leadership, procurement, fiscal, and operational stakeholders to ensure compliance with applicable laws, policies, and governing authorities.
Hospice Certified Nursing Assistant CNA Full Time Aveanna Healthcare Holdings IncHospice Certified Nursing Assistant CNA Full TimeFranklin, TN$18–$22 / hourAveanna Healthcare has grown tremendously during the past year through a series of exciting acquisitions and we are currently looking for a Hospice Certified Nursing Assistant (CNA) to join our dynamic home health care team. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.