Travel Nurse RN - Labor and Delivery - $2,772 per week HCS 247Travel Nurse RN - Labor and Delivery - $2,772 per weekClear Lake, CAOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings.
NewTravel Med/Surg RN - $2,066 per week Concentric Healthcare StaffingTravel Med/Surg RN - $2,066 per weekMason City, IAWhether guiding a nurse to their next adventure, an allied clinician seeking balance, or a behavioral health professional choosing flexible PRN work, Concentric’s mission remains clear: to support, educate, and empower those who care for others. Concentric connects nursing, allied, therapy, and behavioral health professionals to rewarding travel and PRN opportunities across the country, building experiences rooted in clarity and trust.
NewTravel Medical-Surgical Telemetry RN - $2,090 per week Concentric Healthcare StaffingTravel Medical-Surgical Telemetry RN - $2,090 per weekMason City, IAConcentric connects nursing, allied, therapy, and behavioral health professionals to rewarding travel and PRN opportunities across the country, building experiences rooted in clarity and trust. Whether guiding a nurse to their next adventure, an allied clinician seeking balance, or a behavioral health professional choosing flexible PRN work, Concentric’s mission remains clear: to support, educate, and empower those who care for others.
NewTravel ICU RN - $2,211 per week Concentric Healthcare StaffingTravel ICU RN - $2,211 per weekMason City, IAConcentric connects nursing, allied, therapy, and behavioral health professionals to rewarding travel and PRN opportunities across the country, building experiences rooted in clarity and trust. Whether guiding a nurse to their next adventure, an allied clinician seeking balance, or a behavioral health professional choosing flexible PRN work, Concentric’s mission remains clear: to support, educate, and empower those who care for others.
NewTravel OR RN - Neuro - $2,457 per week Concentric Healthcare StaffingTravel OR RN - Neuro - $2,457 per weekMason City, IAWhether guiding a nurse to their next adventure, an allied clinician seeking balance, or a behavioral health professional choosing flexible PRN work, Concentric’s mission remains clear: to support, educate, and empower those who care for others. Concentric connects nursing, allied, therapy, and behavioral health professionals to rewarding travel and PRN opportunities across the country, building experiences rooted in clarity and trust.
NewTravel Nurse RN - Labor and Delivery - $2,717 per week MedPro Healthcare StaffingTravel Nurse RN - Labor and Delivery - $2,717 per weekCharles City, IAMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Labor & Delivery Registered Nurse for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
NewTravel ICU RN - $2,217 per week MedPro Healthcare StaffingTravel ICU RN - $2,217 per weekMason City, IAKey Words: Intensive Care Unit, Nurse, Registered Nurse, RN-ICU, Critical Care Unit, Critical Care Nurse, Intensive Care Nurse, RN-CCU, Travel Nurse, Agency Nurse, Contract Nurse, Travel Contract, ACLS, EKG, RN, Registered Nurse, ICU, CCU, RN-ICU, RN-CCU, MICU, SICU, Advanced Life Support, CPR, BLS, Travel Nursing. MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality ICU/CCU Registered Nurse for a travel assignment with one of our top healthcare clients.
NewTravel ICU RN - $2,058 per week Focus StaffTravel ICU RN - $2,058 per weekMason City, IAFocus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
Travel Nurse RN - Labor and Delivery - $2,598 per week Focus StaffTravel Nurse RN - Labor and Delivery - $2,598 per weekCharles City, IAAbout Focus Staff: Focus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
Travel Med Surg RN - $1,943 per week Focus StaffTravel Med Surg RN - $1,943 per weekMason City, IAAbout Focus Staff: Focus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
NewTravel Nurse RN - Med Surg - $1,999 per week Focus StaffTravel Nurse RN - Med Surg - $1,999 per weekCharles City, IAAbout Focus Staff: Focus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
Travel Med/Surg RN - $1,943 per week Focus StaffTravel Med/Surg RN - $1,943 per weekMason City, IAAbout Focus Staff: Focus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
NewTravel Med/Surg RN - $1,966 per week Focus StaffTravel Med/Surg RN - $1,966 per weekMason City, IAAbout Focus Staff: Focus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
NewTravel Med Surg RN - $1,966 per week Focus StaffTravel Med Surg RN - $1,966 per weekMason City, IAAbout Focus Staff: Focus Staff is a traveler-first healthcare staffing agency connecting talented travel nurses and allied health professionals with top assignments nationwide, prioritizing your unique needs and giving you complete control over your journey. Our mission is to help you create the life you love while exploring the country, advancing your healthcare career with competitive pay, and doing what you do best, providing exceptional patient care that makes a difference.
NewTravel Cath Lab RN - $2,735 per week MedPro Healthcare StaffingTravel Cath Lab RN - $2,735 per weekMason City, IAMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Cath Lab Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
Travel OR RN - Neuro - $2,462 per week MedPro Healthcare StaffingTravel OR RN - Neuro - $2,462 per weekMason City, IAMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Operating Room Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
Travel CVOR Registered Nurse - $2,735 per week MedPro Healthcare StaffingTravel CVOR Registered Nurse - $2,735 per weekMason City, IAAs a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation. MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality CVOR registered nurse (RN) for a travel assignment with one of our top healthcare clients.
Travel Cardiac Cath Lab RN - $2,836 per week Voca HealthcareTravel Cardiac Cath Lab RN - $2,836 per weekMason City, IAOur long-standing partnerships with some of the most respected and recognized healthcare organizations in the country allow us to identify career opportunities to help you increase your knowledge and experience while working with some of the best physicians and healthcare professionals in the world. As a Cardiac Cath Lab RN with Voca, you’ll have the opportunity to work in dynamic healthcare settings, gaining valuable experience while receiving competitive compensation and support every step of the way.
Travel ICU RN - $2,299 per week Voca HealthcareTravel ICU RN - $2,299 per weekMason City, IAOur long-standing partnerships with some of the most respected and recognized healthcare organizations in the country allow us to identify career opportunities to help you increase your knowledge and experience while working with some of the best physicians and healthcare professionals in the world. As a ICU RN with Voca, you’ll have the opportunity to work in dynamic healthcare settings, gaining valuable experience while receiving competitive compensation and support every step of the way.
Travel OR RN - $2,556 per week Voca HealthcareTravel OR RN - $2,556 per weekMason City, IAOur long-standing partnerships with some of the most respected and recognized healthcare organizations in the country allow us to identify career opportunities to help you increase your knowledge and experience while working with some of the best physicians and healthcare professionals in the world. -Personalized Support: Work with a dedicated recruiter who will be your advocate throughout your journey, helping you navigate each assignment and providing personalized guidance to ensure your goals are met.
NewTravel Med Surg RN - $2,191 per week Voca HealthcareTravel Med Surg RN - $2,191 per weekMason City, IAOur long-standing partnerships with some of the most respected and recognized healthcare organizations in the country allow us to identify career opportunities to help you increase your knowledge and experience while working with some of the best physicians and healthcare professionals in the world. As a Med Surg RN with Voca, you’ll have the opportunity to work in dynamic healthcare settings, gaining valuable experience while receiving competitive compensation and support every step of the way.
Travel CVOR Registered Nurse - $2,806 per week Focus StaffTravel CVOR Registered Nurse - $2,806 per weekMason City, IATraveling Registered Nurse, Travel, CVOR, RN – CVOR, Contract, Travel, Traveling Nursing, Assignment, Registered CVOR, CVOR Nurse, CVOR RN, CVOR Nurse, CVOR Travel Nurse, Healthcare RN, CVOR Nursing, Nurse RN, RN Nurse, Contract RN. With thousands of job opportunities across all 50 states, our dedicated recruiters work closely with you to match you to the right assignment, based on what matters most to you — pay, location, benefits, or career growth.
NewTravel Medical/Surgical Telemetry RN - $2,105 per week Focus StaffTravel Medical/Surgical Telemetry RN - $2,105 per weekMason City, IATraveling Registered Nurse, Travel, Telemetry, RN – Telemetry, Contract, Travel, Traveling Nursing, Assignment, Registered Telemetry, Telemetry Registered Nurse, Telemetry RN, Telemetry Registered Nurse, Telemetry Travel Nurse, Healthcare RN, Telemetry Nursing, Nurse RN, RN Nurse, Contract RN. With thousands of job opportunities across all 50 states, our dedicated recruiters work closely with you to match you to the right assignment, based on what matters most to you — pay, location, benefits, or career growth.
NewTravel Cath Lab RN - $2,806 per week Focus StaffTravel Cath Lab RN - $2,806 per weekMason City, IATraveling Registered Nurse, Travel, Cath Lab, RN – Cath Lab, Contract, Travel, Traveling Nursing, Assignment, Registered Cath Lab, Cath Lab Nurse, Cath Lab RN, Cath Lab Nurse, Cath Lab Travel Nurse, Healthcare RN, Cath Lab Nursing, Nurse RN, RN Nurse, Contract RN. With thousands of job opportunities across all 50 states, our dedicated recruiters work closely with you to match you to the right assignment, based on what matters most to you — pay, location, benefits, or career growth.
NewTravel Med/Surg RN - $2,106 per week MedPro Healthcare StaffingTravel Med/Surg RN - $2,106 per weekMason City, IAMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Med-Surg registered nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
Travel Medical/Surgical Telemetry RN - $2,106 per week MedPro Healthcare StaffingTravel Medical/Surgical Telemetry RN - $2,106 per weekMason City, IAMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Med-Surg registered nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
NewTravel Med/Surg RN - $2,142 per week GHR HealthcareTravel Med/Surg RN - $2,142 per weekMason City, IA$1,910–$2,010 / weekThis Medical-Surgical RN opportunity offers 12-hour night shifts in a supportive acute care inpatient setting with a welcoming Midwest community, local parks, dining, and year-round activities. Apply now for this Travel Med/Surg RN job in Mason City, Iowa, and join a healthcare team committed to excellent patient care.
NewAcute Registered Nurse - RN Fresenius Medical CareAcute Registered Nurse - RNMason City, IAPerforms ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees.
Travel Medical-Surgical RN - $2,040 per week Cross Country NursesTravel Medical-Surgical RN - $2,040 per weekMason City, IACross Country Nurses is seeking a travel nurse RN Med Surg for a travel nursing job in Mason City, Iowa. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Travel Med/Surg RN - $2,122 per week Premier Medical Staffing ServicesTravel Med/Surg RN - $2,122 per weekMason City, IAWe understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector.
Travel Med/Surg RN - $2,350 per week Premier Medical Staffing ServicesTravel Med/Surg RN - $2,350 per weekMason City, IAWe understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector.
NewTravel ICU RN - $2,235 per week Premier Medical Staffing ServicesTravel ICU RN - $2,235 per weekMason City, IAAble to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. We understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs.
Travel OR RN - Neuro - $2,235 per week Premier Medical Staffing ServicesTravel OR RN - Neuro - $2,235 per weekMason City, IAAble to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. We understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs.
NewTravel Med-Surg Telemetry RN - $2,122 per week Premier Medical Staffing ServicesTravel Med-Surg Telemetry RN - $2,122 per weekMason City, IAWe understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector.
Travel Cath Lab RN - $2,484 per week Premier Medical Staffing ServicesTravel Cath Lab RN - $2,484 per weekMason City, IAAble to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. We understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs.
Travel Nurse RN - ED - Emergency Department - $2,182 per week Premier Medical Staffing ServicesTravel Nurse RN - ED - Emergency Department - $2,182 per weekCharles City, IAAble to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. We understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs.
NewTravel CVOR Registered Nurse - $2,484 per week Premier Medical Staffing ServicesTravel CVOR Registered Nurse - $2,484 per weekMason City, IAAble to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. We understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs.
Travel Labor & Delivery Registered Nurse - $2,768 per week Premier Medical Staffing ServicesTravel Labor & Delivery Registered Nurse - $2,768 per weekCharles City, IAAble to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. We understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs.
Travel Nurse RN - Med Surg - $2,182 per week Premier Medical Staffing ServicesTravel Nurse RN - Med Surg - $2,182 per weekCharles City, IAWe understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector.
NewTravel Medical/Surgical Telemetry RN - $2,122 per week Premier Medical Staffing ServicesTravel Medical/Surgical Telemetry RN - $2,122 per weekMason City, IAWe understand our clients’ need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector.
Travel ICU RN - $2,050 per week TNAA TotalMed RNTravel ICU RN - $2,050 per weekMason City, IAICU RNs provide the most direct care to patients in life-threatening situations, documenting and providing physician-directed care, assessing and implementing patient care plans, and delegating to other care providers as appropriate. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.
Travel Nurse RN - Med Surg / Telemetry - $2,040 per week Cross Country NursesTravel Nurse RN - Med Surg / Telemetry - $2,040 per weekMason City, IAJob Details: Schedule: Nights shift (7:00 PM7:30 AM), 12 hours per shift, with a minimum of 36 hours per week; includes every third weekend and every other holiday. Cross Country Nurses is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Mason City, Iowa.
NewTravel Nurse RN - Cardiac Cath Lab - $2,745 per week Cross Country NursesTravel Nurse RN - Cardiac Cath Lab - $2,745 per weekMason City, IACross Country Nurses is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Mason City, Iowa. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Nurse RN - Cardiovascular Operating Room - $2,374 to $2,526 per week in Mason City, IA Fusion Medical StaffingTravel Nurse RN - Cardiovascular Operating Room - $2,374 to $2,526 per week in Mason City, IAMason City, IA$2,374–$2,526They collaborate closely with the entire surgical team to ensure the optimization of patient outcomes by confirming all necessary surgical supplies and equipment are sterile and functional, assisting with safe patient positioning and draping, and coordinating immediate post-surgical continued patient care. Summary: The CVOR registered nurse is responsible for providing direct and indirect nursing care to assigned patients, as well as assisting in monitoring and supporting the patient throughout the surgical procedure.
NewTravel Nurse RN - Medical-Surgical - $2,073 to $2,317 per week in Mason City, IA Prime Time HealthcareTravel Nurse RN - Medical-Surgical - $2,073 to $2,317 per week in Mason City, IAMason City, IA$2,072.98–$2,316.86Prime Time Healthcare is seeking dynamic individuals like you to join our team in Mason City, IA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Nurse RN - Cardiovascular Operating Room - $2,324 to $2,597 per week in Mason City, IA Prime Time HealthcareTravel Nurse RN - Cardiovascular Operating Room - $2,324 to $2,597 per week in Mason City, IAMason City, IA$2,323.56–$2,596.92Prime Time Healthcare is seeking dynamic individuals like you to join our team in Mason City, IA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,050 to $2,291 per week in Mason City, IA Prime Time HealthcareTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,050 to $2,291 per week in Mason City, IAMason City, IA$2,050.20–$2,291.40Prime Time Healthcare is seeking dynamic individuals like you to join our team in Mason City, IA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Nurse RN - Cardiac Catheterization Lab - $2,324 to $2,597 per week in Mason City, IA Prime Time HealthcareTravel Nurse RN - Cardiac Catheterization Lab - $2,324 to $2,597 per week in Mason City, IAMason City, IA$2,323.56–$2,596.92As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible. Prime Time Healthcare is seeking dynamic individuals like you to join our team in Mason City, IA and make a real impact in patient care!
NewTravel Nurse RN - Emergency Room (ER) / Trauma - $2,056 per week in Charles City, IA Magnet MedicalTravel Nurse RN - Emergency Room (ER) / Trauma - $2,056 per week in Charles City, IACharles City, IA$2,056Infection Control and Safety : Follow strict infection control guidelines to prevent hospital-acquired infections, especially in trauma patients who may have open wounds, invasive devices, or compromised immune systems. Trauma Management and Interventions : Provide critical care interventions to stabilize patients, such as airway management, chest tube insertion, wound care, and monitoring of organ function.
NewTravel Physical Therapist (PT) in Mason City, IA Concentric Healthcare StaffingTravel Physical Therapist (PT) in Mason City, IAMason City, IAComplete medical record documentation in a clear, concise, accurate, and timely manner including goal writing, functional quality indicator assessments, letters of medical necessity, and charge entry in compliance with state, federal, and intermediary guidelines. Key Responsibilities Complete comprehensive evaluations of assigned patients and develop, implement, and modify individualized treatment plans in alignment with patient needs, goals, and physician direction.