RN Staff- PVC, Part Time, Nights Huntsville Hospital Health SystemRN Staff- PVC, Part Time, NightsDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- 3F Med/Surg, Part Time, Days Huntsville Hospital Health SystemRN Staff- 3F Med/Surg, Part Time, DaysDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- Behavior Health, Full Time, Nights Huntsville Hospital Health SystemRN Staff- Behavior Health, Full Time, NightsDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- 4F Med/Surg/Full Time, Days Huntsville Hospital Health SystemRN Staff- 4F Med/Surg/Full Time, DaysDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- 4F Med/Surg, Part Time, Nights Huntsville Hospital Health SystemRN Staff- 4F Med/Surg, Part Time, NightsDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
ER RN Staff, Part Time, Days Huntsville Hospital Health SystemER RN Staff, Part Time, DaysDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- ICU/CCU, Part Time, Nights Huntsville Hospital Health SystemRN Staff- ICU/CCU, Part Time, NightsDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- Newborn/L&D, FT, Shift Varies Huntsville Hospital Health SystemRN Staff- Newborn/L&D, FT, Shift VariesDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff- ICU/CCU, Full Time, Nights Huntsville Hospital Health SystemRN Staff- ICU/CCU, Full Time, NightsDecatur, AlabamaWhile demonstrating through behavior Decatur Morgan Hospital’s mission, vision and values, the Registered Nurse serves as a leader of the healthcare team at Decatur Morgan Hospital by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. Creating a work climate that nurtures and supports clinical expertise, education, and research while fostering the recruitment and retention of nursing staff who demonstrate the highest integrity, competence, and qualifications.
RN Staff Neuro Progressive Care Unit FT 1st shift Huntsville Memorial HospitalRN Staff Neuro Progressive Care Unit FT 1st shiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.
RN Staff CVICU Step Down Unit FT 1st Shift Huntsville Memorial HospitalRN Staff CVICU Step Down Unit FT 1st ShiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.
RN Staff RCU/ICU Step Down Unit FT 3rd Shift Huntsville Memorial HospitalRN Staff RCU/ICU Step Down Unit FT 3rd ShiftHuntsville, ALMinimum Knowledge, Skills, Experience Required: Education: Graduate of Accredited School of Nursing with current Alabama licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.
RN PRN 20P RCU/ICU Step Down Unit 3rd Shift PRN Huntsville Memorial HospitalRN PRN 20P RCU/ICU Step Down Unit 3rd Shift PRNHuntsville, ALThe RN evaluates the patient's response to care and the attainment of or progress toward expected outcomes. Education: Graduate of Accredited School of Nursing with current Alabama licensure.
RN Staff CVICU Step Down Unit FT 3rd Shift Huntsville Memorial HospitalRN Staff CVICU Step Down Unit FT 3rd ShiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.
RN Staff Neuro Progressive Care Unit PT 1st shift Huntsville Memorial HospitalRN Staff Neuro Progressive Care Unit PT 1st shiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. Additional Skill/Abilities: • BLS required before the conclusion of the orientation period • ACLS within one year of hire.
RN Temp Neuro Progressive Care Unit PRN 1st shift Huntsville Memorial HospitalRN Temp Neuro Progressive Care Unit PRN 1st shiftHuntsville, ALAssignment Duration: 13 Weeks (renewable once for a total of 26 weeks/year) Assignment Type: Temp with Full Time hours (PRN Status) You will be considered an employee for a minimum of 13 Weeks. Minimum of 2 year experience in Critical Care and/or Emergency Care strongly preferred, with flexibility to work in Med-Surg Units.
RN Staff Neuro Progressive Care Unit FT 3rd shift Huntsville Memorial HospitalRN Staff Neuro Progressive Care Unit FT 3rd shiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. Additional Skill/Abilities: • BLS required before the conclusion of the orientation period • ACLS within one year of hire.
RN 20P RCU/ICU Step Down Unit PRN 1st Shift Huntsville Memorial HospitalRN 20P RCU/ICU Step Down Unit PRN 1st ShiftHuntsville, ALThe RN evaluates the patient's response to care and the attainment of or progress toward expected outcomes. Education: Graduate of Accredited School of Nursing with current Alabama licensure.
RN PRN 10P Madison Hospital Progressive Care Unit PRN 3rd Shift Huntsville Memorial HospitalRN PRN 10P Madison Hospital Progressive Care Unit PRN 3rd ShiftMadison, ALQualifications Minimum Knowledge, Skills, Experience Required: Education: Graduate of Accredited School of Nursing with current Alabama licensure. The RN evaluates the patients response to care and the attainment of or progress toward expected outcomes.
RN PRN 20P RCU/ICU Step Down Unit PRN 3rd Shift Huntsville Memorial HospitalRN PRN 20P RCU/ICU Step Down Unit PRN 3rd ShiftHuntsville, ALThe RN evaluates the patient's response to care and the attainment of or progress toward expected outcomes. Education: Graduate of Accredited School of Nursing with current Alabama licensure.
RN Staff RCU/ICU Step Down Unit FT 1st Shift Huntsville Memorial HospitalRN Staff RCU/ICU Step Down Unit FT 1st ShiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.
RN PRN 20P RCU/ICU Step Down Unit PRN 1st Shift Huntsville Memorial HospitalRN PRN 20P RCU/ICU Step Down Unit PRN 1st ShiftHuntsville, ALThe RN evaluates the patient's response to care and the attainment of or progress toward expected outcomes. Education: Graduate of Accredited School of Nursing with current Alabama licensure.
Registered Nurse Case Manager Hospice BrightSpring Health ServicesRegistered Nurse Case Manager HospiceALAccess to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! At Hospice of North Alabama, our primary ambition is to bring first-class care to the warmest and most serene environment possible: home.
RN Enterostomal Therapist, Full Time, Days Huntsville Hospital Health SystemRN Enterostomal Therapist, Full Time, DaysDecatur, AlabamaThis nurse provides direct patient care, consultation, and education to patients, families, and healthcare staff, ensuring evidence-based management and prevention of pressure injuries and other integumentary issues. The Wound and Ostomy Registered Nurse is a clinical expert responsible for the assessment, planning, implementation, and evaluation of care for patients with wounds, ostomies, fistulas, and related skin conditions.
RN IV Team - Vascular Access Team - FT - 1st Shift Huntsville Hospital Health SystemRN IV Team - Vascular Access Team - FT - 1st ShiftHuntsville, AlabamaWith 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse.
RN Staff, Marshall Medical Centers North, Surgery, Part time, 1st Shift Huntsville Memorial HospitalRN Staff, Marshall Medical Centers North, Surgery, Part time, 1st ShiftGuntersville, ALLicensure/certification: Licensure by the Alabama State Board of Nursing. Education: Graduation from an accredited school of nursing program.
RN Staff, One Day Admissions, Athens Limestone, ORN Huntsville Memorial HospitalRN Staff, One Day Admissions, Athens Limestone, ORNAthens, ALHe/she provides direct patient care by monitoring physiological and behavioral status, evaluating patient progress and the effectiveness of interventions, and by performing treatments and procedures. The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures.
RN Weekend Cardiac 4 East FT 3rd shift Huntsville Memorial HospitalRN Weekend Cardiac 4 East FT 3rd shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Education: Graduate of an School of Professional Nursing; must provide documented evidence to perform waived testing.
RN Plus P Post Anesthesia Care Unit, Athens Limestone, FT 1st Shift Huntsville Memorial HospitalRN Plus P Post Anesthesia Care Unit, Athens Limestone, FT 1st ShiftAthens, ALHe/she provides direct patient care by monitoring physiological and behavioral status, evaluating patient progress and the effectiveness of interventions, and by performing treatments and procedures. The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures.
RN Staff, Athens Limestone, Med Surg, 3E, FT 1st Shift Huntsville Memorial HospitalRN Staff, Athens Limestone, Med Surg, 3E, FT 1st ShiftAthens, ALHe/she provides direct patient care by monitoring physiological and behavioral status, evaluating patient progress and the effectiveness of interventions, and by performing treatments and procedures. The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures.
RN Weekend Intensive Care Unit PT 1st shift Huntsville Memorial HospitalRN Weekend Intensive Care Unit PT 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Education: Graduate of an School of Professional Nursing; must provide documented evidence to perform waived testing.
RN Staff, Athens Limestone, FT 1st Shift Huntsville Memorial HospitalRN Staff, Athens Limestone, FT 1st ShiftAthens, ALHe/she provides direct patient care by monitoring physiological and behavioral status, evaluating patient progress and the effectiveness of interventions, and by performing treatments and procedures. The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures.
RN Staff Surgical 3 East FT 3rd shift Huntsville Memorial HospitalRN Staff Surgical 3 East FT 3rd shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: 2 years of RN nursing experience in various clinical settings, including Surgical Services, Critical Care, or Medical-Surgical Nursing.
RN Staff Special Procedures FT 1st shift Huntsville Memorial HospitalRN Staff Special Procedures FT 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: 2 years of RN nursing experience in various clinical settings, including Surgical Services, Critical Care, or Medical-Surgical Nursing.
RN Staff Endoscopy Center Main PRN 1st shift Huntsville Memorial HospitalRN Staff Endoscopy Center Main PRN 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: 2 years of RN nursing experience in various clinical settings, including Surgical Services, Critical Care, or Medical-Surgical Nursing.
RN Staff PRN Tiered Crestwood Outpatient Surgery 1st shift Huntsville Memorial HospitalRN Staff PRN Tiered Crestwood Outpatient Surgery 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: Must have 1 year of RN nursing experience in surgical services, critical care or med surg.
RN Staff Surgery FT 1st shift Huntsville Memorial HospitalRN Staff Surgery FT 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: 2 years of RN nursing experience in various clinical settings, including Surgical Services, Critical Care, or Medical-Surgical Nursing.
RN Staff Crestwood Medical Center FT 1st shift Huntsville Memorial HospitalRN Staff Crestwood Medical Center FT 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: Must have 2 years of endoscopy experience or at least 5 years of RN nursing experience in various clinical settings including Surgical Services, Critical Care or Medical-Surgical Nursing.
RN Staff Neonatal ICU FT 3rd shift Huntsville Memorial HospitalRN Staff Neonatal ICU FT 3rd shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: Must have 2 years of endoscopy experience or at least 5 years of RN nursing experience in various clinical settings including Surgical Services, Critical Care or Medical-Surgical Nursing.
RN Staff CW Cardiac 4 East FT 3rd shift Huntsville Memorial HospitalRN Staff CW Cardiac 4 East FT 3rd shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: Must have 2 years of endoscopy experience or at least 5 years of RN nursing experience in various clinical settings including Surgical Services, Critical Care or Medical-Surgical Nursing.
RN Staff, Athens Limestone, Med Surg, 3E, PT 3rd Shift Huntsville Memorial HospitalRN Staff, Athens Limestone, Med Surg, 3E, PT 3rd ShiftAthens, ALHe/she provides direct patient care by monitoring physiological and behavioral status, evaluating patient progress and the effectiveness of interventions, and by performing treatments and procedures. The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures.
RN Staff Neonatal ICU CW FT 1st shift Huntsville Memorial HospitalRN Staff Neonatal ICU CW FT 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Experience: Must have 2 years of endoscopy experience or at least 5 years of RN nursing experience in various clinical settings including Surgical Services, Critical Care or Medical-Surgical Nursing.
RN Weekend CW Intensive Care Unit FT 1st shift Huntsville Memorial HospitalRN Weekend CW Intensive Care Unit FT 1st shiftHuntsville, ALResponsible for the delivery of patient care through the nursing process of assessment, diagnosis, planning, implementation and evaluation; responsible for directing, coordinating all nursing care based on established clinical nursing practices; collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Education: Graduate of an School of Professional Nursing; must provide documented evidence to perform waived testing.
RN Charge, Athens Limestone, Med Surg, 3E, FT 1st Shift Huntsville Memorial HospitalRN Charge, Athens Limestone, Med Surg, 3E, FT 1st ShiftAthens, ALHe/she provides direct patient care by monitoring physiological and behavioral status, evaluating patient progress and the effectiveness of interventions, and by performing treatments and procedures. The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures.
NewRN Staff - Labor & Delivery - FT -3rd Shift Huntsville Hospital Health SystemRN Staff - Labor & Delivery - FT -3rd ShiftHuntsville, AlabamaWe collaborate with many disciplines including our Maternal Fetal Medicine physicians to care for a variety of patients along the obstetric spectrum from managing any complication or condition during pregnancy like preeclampsia and gestational diabetes to providing care and support to a mother while laboring and giving birth. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills.
RN Hospice Case Manager Huntsville Memorial HospitalRN Hospice Case ManagerHuntsville, ALThe RN indentifies patient needs and prioritizes care based on continuous assessment, executes therapeutic physician orders and therapeutic nursing interventions. Duties also require prolonged or considerable walking or standing, reaching, stooping, bending, kneeling, and/or crouching.
RN Staff Madison Hospital Emergency Department FT 3rd Shift Huntsville Memorial HospitalRN Staff Madison Hospital Emergency Department FT 3rd ShiftMadison, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.
Outpatient Registered Nurse - RN Fresenius Medical CareOutpatient Registered Nurse - RNHuntsville, AlabamaPerforms ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs 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.
RN PRN 20P Pre Op Main PRN 1st Shift Huntsville Memorial HospitalRN PRN 20P Pre Op Main PRN 1st ShiftHuntsville, ALThe RN evaluates the patients response to care and the attainment of or progress toward expected outcomes. Education: Graduate of Accredited School of Nursing with current Alabama licensure.
RN Staff Oncology FT 1st Shift Huntsville Memorial HospitalRN Staff Oncology FT 1st ShiftHuntsville, ALEducation: Graduate of state board School of Nursing with current Alabama or multi-state licensure. The RN evaluates the patient''s response to care and the attainment of or progress toward expected outcomes.