NewSenior Registered Nurse - Parkland Health Cancer Center Parkland Health and Hospital SystemSenior Registered Nurse - Parkland Health Cancer CenterDallas, TXPerforms patient assessments related to cancer care and other medical diagnosis to include allergies and hypersensitivity reactions, physical, signs and symptoms, changes in activities of daily living, psychosocial, support network and financial dimensions across the continuum of care (diagnosis, treatment, surveillance, and end of life). Will maintain current Commission on Cancer specific certification in the nurses specialty by an accredited certification program or will continue ongoing education by earning 12 cancer-related continuing education nursing contract hours per year or 36 cancer-related continuing education nursing contract hours each accreditation cycle (3 years).
NewHome Health Nurse RN or LVN Connect PediatricsHome Health Nurse RN or LVNArgyle, TX$60,000–$120,000 / yearAt Connect Pediatrics, we don't just hire - we inspire nurses to tap into their full potential, offering a vibrant work environment that boosts career growth and enhances nursing skills in the realm of in-home care. Connect Pediatrics Vision: Connect Pediatrics went from being the best-kept secret in Pediatric Home Health to becoming a key provider of Pediatric Private Duty Nursing across the state of Texas.
NewHome Health RN Clinical Manager - UNDRRVW Medical City Healthcare at HomeHome Health RN Clinical Manager - UNDRRVWIrving, TXAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
NewManager, Diagnostic Services - Breast Health Parkland Health and Hospital SystemManager, Diagnostic Services - Breast HealthGrand Prairie, TXCultivates and maintains positive working relationships with management, physicians, nurses, hospital staff, students, and vendors in order to provide optimal patient care, and interdepartmental cooperation, and improve effectiveness, productivity, and efficiency in support of overall Parkland and department goals. Serves as a liaison between the department and the information technology divisions coordinating and monitoring the implementation of various programs and systems such as the EMR and PACS to ensure the appropriate clinical operation and patient safety as requirements change.
NewPatient Care Manager / Registered Nurse, Home Health AccentCare, Inc.Patient Care Manager / Registered Nurse, Home HealthMcKinney, TX$90,000–$110,000What You Need to Know: The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient.
NewRN - ED - Emergency Department in Arlington, Texas - $1,597/week Vetted HealthRN - ED - Emergency Department in Arlington, Texas - $1,597/weekArlington, TX$83,780–$100,000 / yearSee Vetted Health Privacy Policy at https://www.vettedhealth.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The assignment starts on ASAP and is 13 weeks long with 13 hour shifts 3 days a week.
NewRegistered Nurse (RN)Behavioral Health Collin SpringsRegistered Nurse (RN)Behavioral HealthMcKinney, TXOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Collin Springs is a 72 bed hospital located in McKinney, Texas and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.
NewTravel Nurse RN - Home Health in McKinney, TX SkyBridge HealthcareTravel Nurse RN - Home Health in McKinney, TXMcKinney, TX$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.
NewTravel Nurse RN - Home Health in Dallas, TX SkyBridge HealthcareTravel Nurse RN - Home Health in Dallas, TXDallas, TX$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.
NewTravel Nurse RN - Home Health - $1,967 to $2,261 per week in McKinney, TX Fusion Medical StaffingTravel Nurse RN - Home Health - $1,967 to $2,261 per week in McKinney, TXMcKinney, TX$1,967–$2,261Summary:A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
NewTravel Nurse RN - Home Health - $1,964 to $2,258 per week in Dallas, TX Fusion Medical StaffingTravel Nurse RN - Home Health - $1,964 to $2,258 per week in Dallas, TXDallas, TX$1,964–$2,258Summary:A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
NewTravel Nurse RN - Home Health in Irving, TX SkyBridge HealthcareTravel Nurse RN - Home Health in Irving, TXIrving, TXWhether 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.
NewRegistered Nurse - Emergency Department Parkland Health and Hospital SystemRegistered Nurse - Emergency DepartmentDallas, TXProvides safe medication administration using the patient's six (6) rights, provides maintenance and management of intra-venous (IV) access, performs Point of Care testing, demonstrates safe infection control practices, invasive hemodynamic monitoring and provides emergency resuscitation management of patients. Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following on hire, and the ability to maintain thereafter: American Heart Association, American Red Cross, or Military Training Network.
NewSenior Registered Nurse - Medicine Surgery Parkland Health and Hospital SystemSenior Registered Nurse - Medicine SurgeryDallas, TXProvides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations.
NewSenior Registered Nurse - Neuroscience Acute Care Unit Parkland Health and Hospital SystemSenior Registered Nurse - Neuroscience Acute Care UnitDallas, TXProvides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations.
NewSenior Registered Nurse - Trauma General Surgery Parkland Health and Hospital SystemSenior Registered Nurse - Trauma General SurgeryDallas, TXHighly prefer General Surgery, Trauma, and Med/Surg experience providing direct bedside, patient care in a high-acuity, fast-paced hospital environment and strong skills in wound care, and, if possible, sterile technique (excluding Clinical Rotations as part of degree program, and/or LVN experience). Must have current healthcare provider BLS for Healthcare Providers certification card from one of the following: American Heart Association, American Red Cross, or Military Training Network.
NewRegistered Nurse - Labor and Delivery Parkland Health and Hospital SystemRegistered Nurse - Labor and DeliveryDallas, TXProvides safe medication administration using the patient's 6 rights, provides maintenance, maintenance and management of IV access, performs POC monitoring and demonstrates safe infection control practices. Electronic Fetal MonitoringMust have completed RELIAS or AWHONN (Association of Women's Health, Obstetric and Neonatal) endorsed Basic Electronic Fetal Monitoring Certificate within 90 days of hire or reclassification into the role.
NewSenior Registered Nurse - Medical Surgery Parkland Health and Hospital SystemSenior Registered Nurse - Medical SurgeryDallas, TXProvides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in professional organizations.
NewSenior Registered Nurse - Hospitalist A Parkland Health and Hospital SystemSenior Registered Nurse - Hospitalist ADallas, TXStays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Provides continuous assessment, consults with other team members as required, and provides nursing care that demonstrates patient-centered/patient-valued care.
NewClinical Team Lead - Charge Nurse - Med Surg - Days Methodist Health SystemClinical Team Lead - Charge Nurse - Med Surg - DaysRichardson, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.
Registered Nurse - Cath Lab - Days Methodist Health SystemRegistered Nurse - Cath Lab - DaysDallas, TXIn addition to the new 40,000-square-foot expansion of the emergency department, we offer a newly renovated intensive care unit, labor and delivery unit, and interventional radiology suite; a Level III Trauma Center, a Level II Neonatal Intensive Care Unit, and the Dr. Stephen and Marilyn Mansfield Oncology Unit. We have been recognized for excellence in cardiac catheterization, electrophysiology, open heart surgery, and STEMI care; stroke care; hip and knee joint replacement; women and children’s services; and more.
Registered Nurse Full Time - Cardiac Catheterization Laboratory Methodist Health SystemRegistered Nurse Full Time - Cardiac Catheterization LaboratorySeagoville, TXIn addition to the new 40,000-square-foot expansion of the emergency department, we offer a newly renovated intensive care unit, labor and delivery unit, and interventional radiology suite; a Level III Trauma Center, a Level II Neonatal Intensive Care Unit, and the Dr. Stephen and Marilyn Mansfield Oncology Unit. We have been recognized for excellence in cardiac catheterization, electrophysiology, open heart surgery, and STEMI care; stroke care; hip and knee joint replacement; women and children’s services; and more.
NewRN Clinical Team Leader - Observation Unit/Med Surg Methodist Health SystemRN Clinical Team Leader - Observation Unit/Med SurgDallas, TXClinical Course Certifications (Basic Life Support, Advanced Cardio Life Support, Pediatric Advanced Life Support, NRP, etc.) consistent with RN requirements for specific clinical area. • Assists the manager in achieving and sustaining department and organizational objectives including but not limited to patient experience, length of stay, and unit/patient specific quality measures.
NewRegistered Nurse - Med Surg - General Surgery Telemetry Methodist Health SystemRegistered Nurse - Med Surg - General Surgery TelemetryDallas, TXWith clear communication and dedication to building relationships that promote a collaborative environment, you'll be accountable for your performance and empowered to take initiative for your professional growth - while being engaged and eager to build a winning team. • In this highly technical, fast-paced, and challenging nursing position, you'll work with multidisciplinary team members to provide our patients the best care.
NewRegistered Nurse - Med Surg - Ortho/Trauma - Days Methodist Health SystemRegistered Nurse - Med Surg - Ortho/Trauma - DaysDallas, TXWith clear communication and dedication to building relationships that promote a collaborative environment, you'll be accountable for your performance and empowered to take initiative for your professional growth - while being engaged and eager to build a winning team. • In this highly technical, fast-paced, and challenging nursing position, you'll work with multidisciplinary team members to provide our patients the best care.
NewRegistered Nurse - Med Surg - Day Shift Methodist Health SystemRegistered Nurse - Med Surg - Day ShiftDallas, TXWith clear communication and dedication to building relationships that promote a collaborative environment, you'll be accountable for your performance and empowered to take initiative for your professional growth - while being engaged and eager to build a winning team. • In this highly technical, fast-paced, and challenging nursing position, you'll work with multidisciplinary team members to provide our patients the best care.
NewRegistered Nurse - Med Surg - Full Time - Days Methodist Health SystemRegistered Nurse - Med Surg - Full Time - DaysSouthlake, TXDesigned to expand as the community grows, we have 11 operating suites, two endoscopy suites, a diagnostic and interventional catheterization lab, and a newly expanded emergency department with 12 exam rooms. With clear communication and dedication to building relationships that promote a collaborative environment, you'll be accountable for your performance and empowered to take initiative for your professional growth - while being engaged and eager to build a winning team.
NewRegistered Nurse - Trauma/Ortho/Neuro - Part Time - Day Shift Methodist Health SystemRegistered Nurse - Trauma/Ortho/Neuro - Part Time - Day ShiftDallas, TXWith clear communication and dedication to building relationships that promote a collaborative environment, you'll be accountable for your performance and empowered to take initiative for your professional growth - while being engaged and eager to build a winning team. • In this highly technical, fast-paced, and challenging nursing position, you'll work with multidisciplinary team members to provide our patients the best care.
NewSenior Registered Nurse - Forensic Exam Team Parkland Health and Hospital SystemSenior Registered Nurse - Forensic Exam TeamDallas, TXMust have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association, American Red Cross, or Military Training Network. The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team.
NewAdvanced Practice Provider I - Psych Correctional Health Parkland Health and Hospital SystemAdvanced Practice Provider I - Psych Correctional HealthIrving, TXCurrent licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Psychiatric Mental Health, or Women's Health Nurse Practitioner. Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
NewAdvanced Practice Provider I - Women’s Health Parkland Health and Hospital SystemAdvanced Practice Provider I - Women’s HealthPlano, TXCurrent licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Psychiatric Mental Health, or Women's Health Nurse Practitioner. Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
NewAdvanced Practice Provider I - Outpatient Behavioral Health Parkland Health and Hospital SystemAdvanced Practice Provider I - Outpatient Behavioral HealthPlano, TXCurrent licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Psychiatric Mental Health, or Women's Health Nurse Practitioner. Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
NewSenior Registered Nurse - Shared Prep/Recovery Parkland Health and Hospital SystemSenior Registered Nurse - Shared Prep/RecoveryDallas, TXStays abreast of the latest developments, advancements and trends in peri anesthesia nursing practice by attending seminars, workshops, reading professional journals and actively participating in professional organizations. The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team.
NewDialysis Chronic RN - Contract TalentBurst, Inc.Dialysis Chronic RN - ContractIrving, TXPerforms 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 client education and training requirements for new employees.
NewDialysis Registered Charge Nurse U.S. Renal CareDialysis Registered Charge NurseMesquite, TX12 months experience in providing nursing care, including 3 months of experience in providing nursing care to patients on maintenance dialysis. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
NewDialysis Registered Nurse - Charge U.S. Renal CareDialysis Registered Nurse - ChargeArlington, TX12 months experience in providing nursing care, including 3 months of experience in providing nursing care to patients on maintenance dialysis. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
NewTravel ICU RN Fusion Medical StaffingTravel ICU RNDallas, TX$1,557–$1,656This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. 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.
NewAveanna Healthcare Private Duty Nurse LVN- Night Shifts Aveanna HealthcareAveanna Healthcare Private Duty Nurse LVN- Night ShiftsPlano, TXOur homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. See Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewIn Home Healthcare LVN: Low Acuity- Weekday Nights Aveanna HealthcareIn Home Healthcare LVN: Low Acuity- Weekday NightsFrisco, TXAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes.
New• Registered Nurse – Surgical Intensive Care Unit – PT Methodist Health System• Registered Nurse – Surgical Intensive Care Unit – PTDallas, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.
NewTravel PCU Stepdown RN Fusion Medical StaffingTravel PCU Stepdown RNSeagoville, TX$1,729–$1,839They assess and manage complex patient needs, administer medications and treatments, and collaborate with multidisciplinary teams to ensure safe, patient-centered care. 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.
PRN Hospice Registered Nurse Medical City Hospice & Family CarePRN Hospice Registered NurseArlington, TXParticipates in coordination of hospice services, appropriately reporting the identified needs to the interdisciplinary group, including Hospice Aide, Director of Clinical Services –Hospice, and Chaplain. We have an exciting opportunity for you to join Medical City Hospice & Family Care which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Registered Nurse - Neuro/Trauma Intensive Care Unit - FT Nights Methodist Health SystemRegistered Nurse - Neuro/Trauma Intensive Care Unit - FT NightsGrand Prairie, TXWith advanced technology, patient-centered design, and a new ninth operating room added in 2025, Methodist Mansfield delivers high-quality, innovative care across services including Level III Trauma, NICU, and Maternal Care. Methodist Mansfield Medical Center is a 294-bed, full-service acute-care hospital serving North Texas and certified as an Advanced Primary Stroke and Heart Attack Center by The Joint Commission.
NewRegistered Nurse Operating Room Supervisor Medical City PlanoRegistered Nurse Operating Room SupervisorPlano, TXIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift.
Registered Nurse Operating Room Medical City PlanoRegistered Nurse Operating RoomPlano, TXConsistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients . As a part of the Medical City network of hospitals and specialists, patients are ensured access to leading medical experts and advanced healthcare innovations.
New• Registered Nurse – Surgical Intensive Care Unit – FT Nights Methodist Health System• Registered Nurse – Surgical Intensive Care Unit – FT NightsFrisco, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.
Registered Nurse - Surgical Intensive Care Nights Methodist Health SystemRegistered Nurse - Surgical Intensive Care NightsDallas, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.
NewRegistered Nurse - Intermediate Care - FT Nights Methodist Health SystemRegistered Nurse - Intermediate Care - FT NightsRichardson, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.
Registered Nurse - Med Surg - Night Shift Methodist Health SystemRegistered Nurse - Med Surg - Night ShiftRichardson, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.
Registered Nurse - Med Surg - Full Time - Night Shift Methodist Health SystemRegistered Nurse - Med Surg - Full Time - Night ShiftRichardson, TXWe also provide services at Methodist Richardson Medical Center – Campus for Continuing Care, which include a behavioral health and addiction recovery unit, inpatient rehabilitation, long-term acute care, and more. Methodist Richardson Medical Center is a 443-bed, full-service, acute care hospital that serves Richardson, Garland, Plano, and surrounding areas in Dallas and Collin counties.