NewTravel Nurse RN - Case Manager in Holland, OH SkyBridge HealthcareTravel Nurse RN - Case Manager in Holland, OHHolland, OH$46.75–$55.25 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
Direct Support Professional Goodwill Industries of Southeastern MichiganDirect Support ProfessionalMonroe, MIFull timeEssential Functions: 1. Provides one-on-one support to help individuals build interpersonal and other life skills as outlined in each person's PCP or individualized employment plan. Completes accident reports, unusual occurrence reports and/or CMH incident report immediately.
Direct Support Professional, PRN 24 hours per month Easterseals Northwest Ohio, Inc.Direct Support Professional, PRN 24 hours per monthBowling Green, OHPart timePhysical Requirement- Depending on the needs of the individuals, the work can be physically demanding including transferring or supporting people with mobility needs, lifting or moving items up to 75 lbs, walking or standing for extended periods of time or providing support through CPR/First Aid, behavioral support, and other interventions. Support may occur in various settings and may involve personal care, assistance with daily living activities, skill development, advocacy, communication support, and helping individuals work toward achieving their personal goals.
Direct Support Professional, Bowling Green, OH Easterseals Northwest Ohio, Inc.Direct Support Professional, Bowling Green, OHBowling Green, OHPart timePhysical Requirement- Depending on the needs of the individuals, the work can be physically demanding including transferring or supporting people with mobility needs, lifting or moving items up to 75 lbs, walking or standing for extended periods of time or providing support through CPR/First Aid, behavioral support, and other interventions. Support may occur in various settings and may involve personal care, assistance with daily living activities, skill development, advocacy, communication support, and helping individuals work toward achieving their personal goals.
Home Health Aide/ CNA, Personal Care Aide/ Direct Support Professional COMPASSIONATE HANDS HOME CARE LLCHome Health Aide/ CNA, Personal Care Aide/ Direct Support ProfessionalToledo, OHPart timeCare for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care. You operate with a big heart, not only providing personalized and attentive care but by building genuine relationships with those you serve.
Direct Support Professional - Float Thursday-Sunday 10 hours per day (11a-9p) Easterseals Northwest Ohio, Inc.Direct Support Professional - Float Thursday-Sunday 10 hours per day (11a-9p)Bowling Green, OHPart timePhysical Requirement- Depending on the needs of the individuals, the work can be physically demanding including transferring or supporting people with mobility needs, lifting or moving items up to 75 lbs, walking or standing for extended periods of time or providing support through CPR/First Aid, behavioral support, and other interventions. Support may occur in various settings and may involve personal care, assistance with daily living activities, skill development, advocacy, communication support, and helping individuals work toward achieving their personal goals.
Direct Support Professional, Portage, PRN 24 hours per month Easterseals Northwest Ohio, Inc.Direct Support Professional, Portage, PRN 24 hours per monthBowling Green, OHPart timePhysical Requirement- Depending on the needs of the individuals, the work can be physically demanding including transferring or supporting people with mobility needs, lifting or moving items up to 75 lbs, walking or standing for extended periods of time or providing support through CPR/First Aid, behavioral support, and other interventions. Support may occur in various settings and may involve personal care, assistance with daily living activities, skill development, advocacy, communication support, and helping individuals work toward achieving their personal goals.
Direct Support Professional, Portage, Sunday - Tuesday 7p-7a Easterseals Northwest Ohio, Inc.Direct Support Professional, Portage, Sunday - Tuesday 7p-7aBowling Green, OHPart timePhysical Requirement- Depending on the needs of the individuals, the work can be physically demanding including transferring or supporting people with mobility needs, lifting or moving items up to 75 lbs, walking or standing for extended periods of time or providing support through CPR/First Aid, behavioral support, and other interventions. Support may occur in various settings and may involve personal care, assistance with daily living activities, skill development, advocacy, communication support, and helping individuals work toward achieving their personal goals.
Direct Support Professional DSP X-TRA MILE RESIDENTIAL CARE LLCDirect Support Professional DSPToledo, OHPart timeAt X-Tra Mile Residential Care, we are committed to delivering person-centered, high-quality care that promotes independence, dignity, and growth. Our team prides itself on going the extra mile to ensure individuals receive the support they need to thrive in their daily lives and communities.
Direct Support Professional (DSP)- All Shifts, Full or Part time ViaQuest IncDirect Support Professional (DSP)- All Shifts, Full or Part timeBowling Green, OH$17.25–$18.25 / hourResponsibilities may include: Providing direct care and support to individuals with developmental disabilities - our goal is to foster increased independence, choice and empowerment while assuring that their health and safety needs are being met at all times. To learn more about ViaQuest Residential Services please visit: http://www.viaquestinc.com/specialized-services/residential-services/ .
Direct Support Professional (DSP)- Weekends Only ViaQuest IncDirect Support Professional (DSP)- Weekends OnlyBowling Green, OH$17.25–$18.25 / hourResponsibilities may include: Providing direct care and support to individuals with developmental disabilities - our goal is to foster increased independence, choice and empowerment while assuring that their health and safety needs are being met at all times. To learn more about ViaQuest Residential Services please visit: http://www.viaquestinc.com/specialized-services/residential-services/ .
Direct Support Professional - Counselor Aide Harbor CorporationDirect Support Professional - Counselor AideToledo, OHMust be at least 23 years of age, must have a valid driver's license, acceptable driving record, and show proof of personal auto insurance policy to be deemed insurable with Harbor's vehicle insurance carrier for first and second shift employees. Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Direct Support Professional - Counselor Aide (Contingent) Harbor CorporationDirect Support Professional - Counselor Aide (Contingent)Toledo, OHA Counselor Aide is responsible for providing direct care to resident daily activities, overseeing household operations, and maintaining clinical records regarding each resident's behavior and treatment planning goals in a women's residential substance use treatment program. Must be at least 23 years of age, must have a valid driver's license, acceptable driving record, and show proof of personal auto insurance policy to be deemed insurable with Harbor's vehicle insurance carrier for first and second shift employees.
Direct Support Professional - Residential Housing (1st Shift, Contingent) HarborDirect Support Professional - Residential Housing (1st Shift, Contingent)Bowling Green, OHSome benefits of working with Harbor include: • Medical, dental, and vision coverage • Retirement plan with company match • Generous paid time off, sick time, and paid holidays • Tuition and professional license reimbursement programs • Clinical supervision hours offered • Employee referral bonuses • Ability to make a difference in your community! Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Direct Support Professional - Residential Housing HarborDirect Support Professional - Residential HousingBowling Green, OHServices ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more! Must have valid driver's license, acceptable driving record, and be deemed insurable through Harbor's vehicle insurance carrier for individuals working first and second shifts.
NewDirect Support Professional - Full-Time The Epilepsy Center of Northwest OhioDirect Support Professional - Full-TimeMaumee, OHThe Epilepsy Center of Northwest Ohio is a non-profit organization dedicated to improving the lives of individuals and families affected by epilepsy and developmental disabilities. You’ll help individuals with developmental and intellectual disabilities live full, empowered, and independent lives at home and in the community.
Direct Support Professional - Weekends The Epilepsy Center of Northwest OhioDirect Support Professional - Weekendsmaumee, OHThe Epilepsy Center of Northwest Ohio is a non-profit organization dedicated to improving the lives of individuals and families affected by epilepsy and developmental disabilities. You’ll help individuals with developmental and intellectual disabilities live full, empowered, and independent lives at home and in the community.
Direct Support Professional - Counselor Aide Harbor, Inc.Direct Support Professional - Counselor AideToledo, OHPart timeMust be at least 23 years of age, must have a valid driver’s license, acceptable driving record, and show proof of personal auto insurance policy to be deemed insurable with Harbor’s vehicle insurance carrier for first and second shift employees. Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Direct Support Professional/Job Coach Goodwill Industries of Southeastern Michigan IncDirect Support Professional/Job CoachAdrian, MIPerforms job duties in a safe manner and assures safe environment for people by maintaining a clean and orderly work area, using proper lifting techniques, positioning people safely, safely securing people in their wheelchairs, and addressing safety concerns before an incident occurs. Be able to work a flexible schedule; Have an acceptable driving record (all Job Coaches); Have a driver's license and be able to drive from location to location; Must have or be able to obtain a valid chauffeur's license (LINC Job Coaches only); Have a cellular telephone.
Direct Support Professional Goodwill Industries of Southeastern Michigan IncDirect Support ProfessionalAdrian, MIPerforms job duties in a safe manner and assures safe environment for people by maintaining a clean and orderly work area, using proper lifting techniques, positioning people safely, safely securing people in their wheelchairs, and addressing safety concerns before an incident occurs. Be able to work a flexible schedule; Have an acceptable driving record (all Job Coaches); Have a driver's license and be able to drive from location to location; Must have or be able to obtain a valid chauffeur's license (LINC Job Coaches only); Have a cellular telephone.
Direct Support Professional - Residential Housing Harbor, Inc.Direct Support Professional - Residential HousingBowling Green, OHPart timeServices ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more! Must have valid driver’s license, acceptable driving record, and be deemed insurable through Harbor’s vehicle insurance carrier for individuals working first and second shifts.
Direct Support Professional - Residential Housing (1st Shift, Contingent) Harbor, Inc.Direct Support Professional - Residential Housing (1st Shift, Contingent)Bowling Green, OHPart timeServices ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more! Must have valid driver’s license, acceptable driving record, and be deemed insurable through Harbor’s vehicle insurance carrier for individuals working first and second shifts.
Direct Support Professional SevitaDirect Support ProfessionalOHMaybe you would like to consider the Categories below: Hear from team members about the role. Direct Support Professional job in Holland, OH, US | Direct Care jobs at Sevita.
Direct Support Professional/Caregiver- Lucas County (Toledo, OH) Champaign Residential ServicesDirect Support Professional/Caregiver- Lucas County (Toledo, OH)Toledo, OhioChampaign Residential Services “Being a DSP isn't just a job, it's a career, in a high demand Healthcare field" $1000 Sign-on Bonus/$1500 Referral Bonus. Our Core Values: Respect, Empowerment, Positivity, Ownership, Teamwork-developed with staff involvement.
Direct Care Professional - Erie, Michigan Macomb ResidentialDirect Care Professional - Erie, MichiganErie, MichiganDirect Care Worker | DCW | Caregiver | Direct Care Professional | DSP | Direct Support Specialist | Residential Counselor | Daily Living Specialist | Support Aid. In this role, your duties will include performing housekeeping tasks, running errands, providing transportation, and performing basic home health care for clients.
Direct Care Professional - Temperance, MI Macomb ResidentialDirect Care Professional - Temperance, MITemperance, MichiganDirect Care Worker | DCW | Caregiver | Direct Care Professional | DSP | Direct Support Specialist | Residential Counselor | Daily Living Specialist | Support Aid. In this role, your duties will include performing housekeeping tasks, running errands, providing transportation, and performing basic home health care for clients.
Direct Care Professional - Monroe, MI Macomb ResidentialDirect Care Professional - Monroe, MIMonroe, MichiganDirect Care Worker | DCW | Caregiver | Direct Care Professional | DSP | Direct Support Specialist | Residential Counselor | Daily Living Specialist | Support Aid. In this role, your duties will include performing housekeeping tasks, running errands, providing transportation, and performing basic home health care for clients.
Patient Support Specialist - Multi-office float role in direct patient care! Midwest Eye Services, LLC - OhioPatient Support Specialist - Multi-office float role in direct patient care!Toledo, OHPart timePOSITION SUMMARY: Patient Support Specialists assist at various offices within their region, performing administrative and clinical functions including preparing patients and exam rooms for eye examinations, performing preliminary testing, advising patients on the best lens options for their needs, collecting necessary information for patient visits, collecting patient copays, and providing patient services throughout each patients' visit to ensure a positive experience. The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.
Patient Support Specialist - Multi-office float role in direct patient care! Bridgeview Eye PartnersPatient Support Specialist - Multi-office float role in direct patient care!Toledo, OhioPOSITION SUMMARY: Patient Support Specialists assist at various offices within their region, performing administrative and clinical functions including preparing patients and exam rooms for eye examinations, performing preliminary testing, advising patients on the best lens options for their needs, collecting necessary information for patient visits, collecting patient copays, and providing patient services throughout each patients' visit to ensure a positive experience. The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.
Hospice Registered Nurse RN - Case Manager Otterbein SeniorLifeHospice Registered Nurse RN - Case ManagerToledo, OHWe offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services. This position provides skilled professional nursing care to patients, their families and caregivers as prescribed by the physician and in compliance with the Hospice Medicare Conditions of Participation, Ohio Hospice licensure laws and agency policies and procedures.
Case Manager - ACT Lenawee Community Mental Health AuthorityCase Manager - ACTAdrian, MI$53,976–$69,810 / yearFull timeBachelor's degree in a human services field from an accredited program; Licensed by the State of Michigan to practice in a human services field (if applicable); Education, training and/or work experience in the behavioral health field with adults diagnosed with severe and persistent mental illness; Basic computer knowledge (such as familiarity with email and internet use) and have experience with Microsoft Office applications (Word, Excel, Power Point, etc.); Possess a valid U.S. driver's license, with an acceptable driving record. LCMHA is also a participating / qualifying site for several student debt relief options including the HRSA Loan Repayment Program & MDHHS Behavioral Health Loan Repayment Program (Please note that employee eligibility is determined by these programs, and not by LCMHA).
Case Manager - I/DD Services Lenawee Community Mental Health AuthorityCase Manager - I/DD ServicesAdrian, MI$53,976–$69,810 / yearFull timeBachelor's degree in a human services field from an accredited program; Licensed by the State of Michigan to practice in a human services field (if applicable); Education, training and/or work experience in the behavioral health field with individuals with developmental disabilities; Basic computer knowledge (such as familiarity with email and internet use) and have experience with Microsoft Office applications (Word, Excel, Power Point, etc.); Valid driver's license. LCMHA is also a participating / qualifying site for several student debt relief options including the HRSA Loan Repayment Program & MDHHS Behavioral Health Loan Repayment Program (Please note that employee eligibility is determined by these programs, and not by LCMHA).
Ltss Service Coordinator (Case Manager) Elevance HealthLtss Service Coordinator (Case Manager)Toledo, OH$26.19–$32.75 / hourUses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.
LTSS Service Coordinator (Case Manager) Elevance Health IncLTSS Service Coordinator (Case Manager)OH$26.19–$32.75 / hourUses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.
Adult Case Manager-CDCA Vital HealthAdult Case Manager-CDCAMaumee, OHFull timeConduct Substance Use Disorder (SUD), Therapeutic Behavioral Services (TBS), Psychosocial Rehabilitation (PSR), and Community Psychiatric Supportive Treatment. Assess clients' clinical and social needs, ensuring they receive appropriate care, services, and referrals.
Case Manager Unison HealthCase ManagerToledo, OhioThis position will work with multiple community partners in supporting clients living in low-income housing in the Toledo area. Documents all services provided and maintains records utilizing the electronic record in accordance with agency policy/procedure.
Case Manager - Youth Unison HealthCase Manager - YouthToledo, OhioThe Case Manager provides direct support to youth and families through health interventions to assigned clients with severe and persistent mental illness who require individual community based rehabilitative services and/or group rehabilitative services to maximize the reduction of symptoms of mental illness in order to restore clients to the highest level of functioning. Must demonstrate knowledge of mental illness including the SED population, crisis management and the ability to establish and maintain therapeutic relationships with clients.
Case Manager Harbor, Inc.Case ManagerToledo, OHPart timeMust successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others. Responsible for accurate and timely documentation which may include but is not limited to activity/progress notes, ISPs, incident report forms, and any other forms necessary to document services.
Case Manager (CPST/TBS Provider) Harbor, Inc.Case Manager (CPST/TBS Provider)Toledo, OHPart timeMust successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others. Responsible for accurate and timely documentation which may include but is not limited to activity/progress notes, ISPs, incident report forms, and any other forms necessary to document services.
NewField Case Manager - Vocational Sedgwick Claims Management Services, Inc.Field Case Manager - VocationalToledo, OHPRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
NewRegistered Nurse (RN) – Hospice Case Manager KWZ SolutionsRegistered Nurse (RN) – Hospice Case ManagerMonroe, MI$48–$50Our client is seeking a compassionate and experienced Hospice Registered Nurse (RN) Case Manager to provide exceptional end-of-life care while serving as the primary clinical advocate for patients and their families. In this role, you'll manage an assigned caseload, coordinate care across an interdisciplinary hospice team, and ensure every patient receives individualized, high-quality care that honors their goals, comfort, and dignity.
Case Manager HarborCase ManagerToledo, OHMust successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others. About Harbor: A leading provider of mental health and substance use treatment for over 100 years 350+ clinical staff serve over 24,000 clients across multiple locations and in the community each year Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Case Manager (CPST/TBS Provider) HarborCase Manager (CPST/TBS Provider)Toledo, OHMust successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others. Responsible for accurate and timely documentation which may include but is not limited to activity/progress notes, ISPs, incident report forms, and any other forms necessary to document services.
Case Manager (Cpst/Tbs Provider) Harbor CorporationCase Manager (Cpst/Tbs Provider)Toledo, OHMust successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others. Responsible for accurate and timely documentation which may include but is not limited to activity/progress notes, ISPs, incident report forms, and any other forms necessary to document services.
Case Manager Harbor CorporationCase ManagerToledo, OHMust successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others. Responsible for accurate and timely documentation which may include but is not limited to activity/progress notes, ISPs, incident report forms, and any other forms necessary to document services.
Clinical Manager - Wood County Outpatient Unison HealthClinical Manager - Wood County OutpatientBowling Green, OhioPosition is responsible for managing the day-to-day operations of outpatient programs and works collaboratively with the Crisis Manager to address referrals, staffing, and processes across the continuum of care in Wood County. This position provides clinical supervision to clinicians (social workers, counselors, and case managers) and administrative oversight to a multidisciplinary team.
NewRegistered Nurse Case Manager Care360 HospiceRegistered Nurse Case ManagerToledo, OhioConsult with the attending physician and hospice medical director concerning changes in patient condition requiring order changes and/or changes in the plan of care. Coordinate hospice care by working with other team members as well as with the patient's family members to ensure needs are met.
NewBehavioral Health Nurse IDD ViaQuest IncBehavioral Health Nurse IDDPerrysburg, OHOur clients are supported by a team of mental health counselors, social workers, certified nurse practitioners, case managers and psychiatrists to ensure the best outcomes for those we serve. At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to children, adolescents, adults, the aging population, those with developmental disabilities and those suffering from extreme trauma.
Hospice RN Case Manager Talent Pool Optimal Care - EvergreenHospice RN Case Manager Talent PoolMonroe, MI$75,000–$82,000 / yearAs a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's final chapter, helping ensure comfort, dignity, and quality of life. . As a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's final chapter, helping ensure comfort, dignity, and quality of life.
RN Case Manager - Outcome Management Outpatient University of ToledoRN Case Manager - Outcome Management OutpatientToledo, OH$68,077–$87,000 / yearThe overall goal is to enhance the quality of patient care throughout the continuum of care to achieve excellence in healthcare delivery, within a framework of fiscal responsibility and focus on optimization of the transition between the outpatient, inpatient, and post-acute settings. Job Description: The RN Case Manager provide a collaborative process of assessment, planning, facilitation, case management, evaluation and advocacy for options and services to meet each patient's needs to achieve optimal clinical, financial, and satisfactory patient outcomes.