Customer Service Representative Child Guidance Resource CenterCustomer Service RepresentativeHavertown, PAReception activities including answering incoming & making appointment reminder calls, checking clients in/out for appointments, scheduling appointments, verifying client insurance coverage, maintaining conference room schedules, mail distribution. Mail/email clinical discharge summary forms / risk of closure letters, closure letters, engagement letters to client/legal guardian.
Executive Assistant Reed Smith USExecutive AssistantPhiladelphia, Philadelphia$31.50–$38.70Full timeThis role serves as a central resource for the leader and practice team, connects workstreams across the practice and broader organization, and supports communication with clients and internal stakeholders. • Coordinate with internal teams and external vendors (e.g., IT, travel, office services) to support meetings, events and travel logistics.
NewDental Assistant Mitchell MartinDental AssistantTrenton, NJ$45,500–$55,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • Responsibilities include chairside assisting, sterilization, radiography, patient scheduling, and administrative support, utilizing various healthcare management systems.
Assistant Manager EMR USA Metal RecyclingAssistant ManagerJuliustown, NJBristol, PA 19007, USA ● Camden, NJ, USA ● New Castle, DE 19720, USA ● Philadelphia, PA, USAReq #1092 Thursday, July 11, 2024 About Us: EMR is one of the world’s leading metal recycling companies with a history spanning decades. This immersive program offers a unique opportunity for talented individuals to gain hands-on experience, receive comprehensive training, and develop the skills necessary to grow into and excel as an EMR manager.
NewCertified Nursing Assistant - CNA/HHA (3p-11p PT Shift) Maplewood at Princeton LLCCertified Nursing Assistant - CNA/HHA (3p-11p PT Shift)Plainsboro Township, NJ$21.50Assist residents with activities of daily living, including bathing, dressing, eating, toileting, hygiene and mobility. Required Certified Nursing Assistant or better in Certified Nursing Assistant or related field.
NewCertified Nursing Assistant - CNA/HHA (7a-3p FT Shift) Maplewood at Princeton LLCCertified Nursing Assistant - CNA/HHA (7a-3p FT Shift)Plainsboro Township, NJ$21.50Assist residents with activities of daily living, including bathing, dressing, eating, toileting, hygiene and mobility. Required Certified Nursing Assistant or better in Certified Nursing Assistant or related field.
NewCertified Nursing Assistant - CNA/HHA (11p-7a PT Shift) Maplewood at Princeton LLCCertified Nursing Assistant - CNA/HHA (11p-7a PT Shift)Plainsboro Township, NJ$21.50Assist residents with activities of daily living, including bathing, dressing, eating, toileting, hygiene and mobility. Required Certified Nursing Assistant or better in Certified Nursing Assistant or related field.
NewCertified Medical Assistant - 6 TalentBurst, Inc.Certified Medical Assistant - 6Plumsteadville, PA$22–$23 / hourWe are seeking a compassionate and detail-oriented Medical Assistant (MA/CMA) This is a temp-to-permanent opportunity supporting a busy primary care practice. The ideal candidate will have strong patient care skills, excellent communication, and prior outpatient clinical experience.
Administrative Assistant Weichert, RealtorsAdministrative AssistantEdison, NJThe position provides administrative support to the sales leaders of the Sales Office(s) and oversees all daily office administration within the Sales Office(s) and provides operational and transactional assistance to the Sales Associates to ensure they have the necessary information and tools needed to conduct their business. Works directly with the Central Licensing staff and processes the hiring packages for new sales associates coming into Weichert, handles transfers, terminations as well as compiling the sales associates’ complete documentation for the Sales Office(s).
NewHome Health Physical Therapy Assistant - $40+ per visit BAYADA Home Health CareHome Health Physical Therapy Assistant - $40+ per visitManchester Township, NJ$48–$51 / hourIn this role, you'll provide one-on-one physical therapy services to adult and geriatric clients in independent living, assisted living, and senior living communities throughout Ocean County. Working under the direction of a licensed Physical Therapist, you'll help clients improve mobility, maximize independence, and safely remain in the place they call home.
NewHome Health Physical Therapy Assistant - $45+ per visit BAYADA Home Health CareHome Health Physical Therapy Assistant - $45+ per visitLafayette Hill, PA$42–$52 / hourAs a home care Physical Therapist Assistant (PTA) you will assist clients in attaining or maintaining optimal physical well being by providing treatment, tests, client education and appropriate interventions as delegated by a licensed Physical Therapist. Have one year of appropriate experience as an Physical Therapist Assistant (PTA) and a satisfactory grade on a proficiency exam conducted, approved or sponsored by the U.S. Public Health Service when initial qualification occurred before December 31, 1977.
NewAdministrative Assistant - Pathology Staff IconsAdministrative Assistant - PathologyRahway, NJFull timeThe Pathology Administrative Assistant provides comprehensive administrative, clerical, and client-service support to pathology operations, medical professionals, technical personnel, hospital teams, and private practice clients. The Administrative Assistant responds to telephone calls and emails, assists with client needs, coordinates requests, and helps ensure accurate and timely follow-through.
NewVeterinary Technician Assistant - Anesthesia Metropolitan Veterinary AssociatesVeterinary Technician Assistant - AnesthesiaLansdale, PA$19If you re driven by the opportunity to support life-saving care , grow your career, and work alongside a passionate, dedicated team, apply today and join Metropolitan Veterinary Associates in making a difference for pets and their families! As an Anesthesia Veterinary Assistant at MVA, you will play a key role in supporting our surgery department, helping our technicians and veterinarians provide rapid, high-quality care.
NewVeterinary Clinic Assistant-VIP Petcare Tractor Supply CompanyVeterinary Clinic Assistant-VIP PetcareCinnaminson, NJOur benefits extend beyond medical, dental, and vision coverage, including company-paid life and disability insurance, paid parental leave, tuition reimbursement, and family planning resources such as adoption and surrogacy assistance, for all full-time Team Members and all part-time Team Members. Provides convenient and affordable pet health and wellness products and veterinary services to pets and their families through retail and ecommerce channels across the country.
Travel Certified Occupational Therapist Assistant (COTA) - $1,019 to $1,228 per week in Lakewood, NJ Fusion Medical StaffingTravel Certified Occupational Therapist Assistant (COTA) - $1,019 to $1,228 per week in Lakewood, NJLakewood, NJ$1,019–$1,228Summary: The Occupational Therapy Assistant provides direct, hands-on therapeutic interventions to support patients in regaining or developing skills necessary for daily living. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Travel Certified Occupational Therapist Assistant (COTA) - $1,300 to $1,566 per week in Lakewood, NJ Fusion Medical StaffingTravel Certified Occupational Therapist Assistant (COTA) - $1,300 to $1,566 per week in Lakewood, NJLakewood, NJ$1,300–$1,566Summary: The Occupational Therapy Assistant provides direct, hands-on therapeutic interventions to support patients in regaining or developing skills necessary for daily living. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel Certified Occupational Therapist Assistant (COTA) - $1,042 to $1,256 per week in Lakewood, NJ Fusion Medical StaffingTravel Certified Occupational Therapist Assistant (COTA) - $1,042 to $1,256 per week in Lakewood, NJLakewood, NJ$1,042–$1,256Summary: The Occupational Therapy Assistant provides direct, hands-on therapeutic interventions to support patients in regaining or developing skills necessary for daily living. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Travel Physical Therapy Assistant (PTA) - $1,347 to $1,623 per week in Lakewood, NJ AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,347 to $1,623 per week in Lakewood, NJLakewood, NJ$1,347–$1,623Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
NewTravel Physical Therapy Assistant (PTA) - $1,042 to $1,256 per week in Lakewood, NJ AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,042 to $1,256 per week in Lakewood, NJLakewood, NJ$1,042–$1,256Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
Travel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Yardley, PA AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Yardley, PAYardley, PA$1,169–$1,408Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
Medical Assistant/Receptionist AtriumMedical Assistant/ReceptionistSomerset, NJThe role requires regular travel to satellite offices within Somerset, Mercer, and Essex County, with schedules planned in advance to support both operational needs and a healthy work-life balance. Required Experience/Skills for the Medical Assistant/Receptionist: Excellent interpersonal, communication, and customer service skills with the ability to build positive relationships with patients and team members.
NewMedical Assistant/Medical Scribe Progressive Spine and Orthopaedics LLCMedical Assistant/Medical ScribeEdison, NJSUMMARY: The Medical Assistant / Medical Scribe provides administrative and non-certified clinical support to physicians and advanced practice providers by facilitating efficient patient flow, documenting medical encounters in real time, and assisting with routine patient care activities. The Medical Assistant / Medical Scribe does not exercise independent clinical judgment, supervise employees, establish organizational policy, or perform duties requiring advanced professional knowledge consistent with the Executive, Administrative, or Learned Professional exemptions under the FLSA.
NewTravel Physical Therapy Assistant (PTA) - $1,042 to $1,256 per week in Lakewood, NJ Fusion Medical StaffingTravel Physical Therapy Assistant (PTA) - $1,042 to $1,256 per week in Lakewood, NJLakewood, NJ$1,042–$1,256Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
Travel Physical Therapy Assistant (PTA) - $1,347 to $1,623 per week in Lakewood, NJ Fusion Medical StaffingTravel Physical Therapy Assistant (PTA) - $1,347 to $1,623 per week in Lakewood, NJLakewood, NJ$1,347–$1,623Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
Travel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Yardley, PA Fusion Medical StaffingTravel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Yardley, PAYardley, PA$1,169–$1,408Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
Administrative Office Assistant System OneAdministrative Office AssistantSayreville, NJ$20–$24 / hourHelps file, copy, scan and helps prepare/create digital files & documents such as customer orders or invoicing (will be reviewed by coworker). Must possess working computer skills & knowledge including ERP (database) management and MS Office: Word, Excel, Outlook, etc.
NewAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald Hospital VituityAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald HospitalDarby, PAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
Part-Time Administrative Assistant AtriumPart-Time Administrative AssistantLebanon, NJOur client, a dynamic organization committed to delivering exceptional service and operational excellence, is looking to add a Part-Time Administrative Assistant to their team. This role ensures professional communication with customers and colleagues, assists with scheduling, and maintains accurate records to support company efficiency and compliance.
NewMedical Assistant-Float Oak Street HealthMedical Assistant-FloatPhiladelphia, PA$18.50–$38.82 / hourThe purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Computer skills: Ability to quickly navigate and use multiple computer programs to include, but not limited to: Gmail, MS Word or Google Docs, Excel or Google Sheets, etc.
Medical Assistant Trainee - Upper Bucks St. Luke's Health Network, Inc.Medical Assistant Trainee - Upper BucksSellersville, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Conducting pre-visit planning by reviewing and updating the patient’s medical record prior to the appointment with recent test results and correspondence and determines needed services by conferring with physician, nurse practitioner or physician assistant.
Physician Assistant - Colon and Rectal Surgery (Grand View/Allentown) St. Luke's Health Network, Inc.Physician Assistant - Colon and Rectal Surgery (Grand View/Allentown)Sellersville, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Participates in the teaching of multidisciplinary students (nursing, nurse practitioner, pharmacy, physician assistant, medical, etc.) and physician residents & fellows, ensuring a positive educational environment.
NewTravel Physical Therapy Assistant (PTA) Fusion Medical StaffingTravel Physical Therapy Assistant (PTA)Edison, NJThe Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients‘ mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
NewDental Assistant Confidential Dental PracticeDental AssistantEast Brunswick, NJ$25–$30You’ll ensure excellent customer service and lift administrative and basic dental tasks off the dentist’s shoulders. Our dedicated dental team is seeking an experienced Dental Assistant in Tinton Falls, NJ.
NewTravel Certified Occupational Therapy Assistant - $1,408 per week Ardor Health SolutionsTravel Certified Occupational Therapy Assistant - $1,408 per weekToms River, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
Certified Medical Assistant, Multispecialty, Clinton NJ St. Luke's Health Network, Inc.Certified Medical Assistant, Multispecialty, Clinton NJClinton, NJ$17.55–$26.33 / hourFull timeCommunicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.
Medical Assistant, Float Pool SLPG; Bucks/Montgomery Region St. Luke's Health Network, Inc.Medical Assistant, Float Pool SLPG; Bucks/Montgomery RegionSellersville, PAFull timeCommunicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.
Medical Assistant, Practice Operations - Medical Oncology, Sellersville St. Luke's Health Network, Inc.Medical Assistant, Practice Operations - Medical Oncology, SellersvilleSellersville, PAFull timeCommunicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.
HR Assistant AtriumHR AssistantPrinceton, NJGuided by our Applicant-Centric™ approach, we foster an environment of collaboration, high performance, and innovation where your talents are valued, and your achievements are celebrated. By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.
Assistant Project Manager - Commercial Construction Page GroupAssistant Project Manager - Commercial ConstructionGreen Knoll, NJ$85,500–$104,500 / yearFull timeWith a strong backlog of work and continued growth, they are seeking an Assistant Project Manager to support project teams and gain hands-on experience managing complex commercial construction projects from award through closeout. They have earned a reputation for successfully delivering public and commercial construction projects while fostering long-term relationships with clients, subcontractors, and employees.
Construction Assistant Project Manager Central Jersey Page GroupConstruction Assistant Project Manager Central JerseyNew Jersey, NJ$72,000–$88,000 / yearFull timeWith continued growth and a strong backlog of projects, they are seeking a motivated Assistant Project Manager who is eager to learn, contribute, and grow within the organization. With a strong pipeline of custom homes, townhomes, renovations, and multifamily developments, they are seeking an Assistant Project Manager to join their team.
NewTravel Physical Therapy Assistant - $1,094 per week Ardor Health SolutionsTravel Physical Therapy Assistant - $1,094 per weekJackson Township, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Certified Occupational Therapy Assistant - $1,056 per week Ardor Health SolutionsTravel Certified Occupational Therapy Assistant - $1,056 per weekOld Bridge, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Physical Therapy Assistant - $1,394 per week Ardor Health SolutionsTravel Physical Therapy Assistant - $1,394 per weekCranbury, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Physical Therapy Assistant - $983 per week Ardor Health SolutionsTravel Physical Therapy Assistant - $983 per weekHamilton, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Physical Therapy Assistant - $1,459 per week Ardor Health SolutionsTravel Physical Therapy Assistant - $1,459 per weekSomerset, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Certified Occupational Therapy Assistant - $1,394 per week Ardor Health SolutionsTravel Certified Occupational Therapy Assistant - $1,394 per weekCape May Ct H, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
NewTravel Certified Occupational Therapy Assistant - $1,065 per week Ardor Health SolutionsTravel Certified Occupational Therapy Assistant - $1,065 per weekPaulsboro, NJWhether you're a registered nurse providing skilled care in a patient's home, a physical therapist working in an outpatient clinic, or a speech-language pathologist in an acute care setting, Ardor Health is committed to matching you with assignments that align with your clinical expertise and personal goals. Our opportunities span a wide range of specialties and settings — including home health, acute care, skilled nursing facilities, outpatient clinics, and more — giving you the flexibility to grow your career while exploring new locations.
Medical Assistant, Gastroenterology St. Luke's Health Network, Inc.Medical Assistant, GastroenterologySellersville, PAFull timeCommunicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.
Medical Assistant - Upper Bucks Orthopedics St. Luke's Health Network, Inc.Medical Assistant - Upper Bucks OrthopedicsColmar, PAFull timeCommunicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.
Medical Assistant, Sellersville St. Luke's Health Network, Inc.Medical Assistant, SellersvilleSellersville, PAFull timeCommunicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.