NewChildren's Services Case Manager Volunteers of America Mid-StatesChildren's Services Case ManagerLouisville, KY$39,000–$40,000 / yearFull timeJOB SUMMARY AND QUALIFICATIONS:The Administrative and Children’s Services Manager is responsible for the overall oversight of children’s services (including case management and other supportive services) the Family Emergency Shelter (C3 Campus), and Transitional Housing Programs (FES/TH). To work collaboratively with external agency partners (Metro United Way, JCPS, Wayside etc) and oversee services/programming offered by these partners (assessments, school bus transportation, daycare).To assist Sr.
Director of Behavioral Health Services Volunteers of America Mid-StatesDirector of Behavioral Health ServicesLouisville, KY$84,000–$85,000 / yearFull timeThe position requires proficiency in the following areas: program development and management; marketing and public relations; budget development and financial management; organizational management skills; crisis management; clinical and case management skills; clinical supervision and staff training; and written and oral communication skills. POSITION TITLE: Behavior Health Program Director LOCATION: Louisville, KY STATUS: Full Time, Salary, Exempt PROGRAM: VOA Recovery REPORTS TO: VP of VOA Recovery INTRODUCTION:Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service.
Automotive Service Technician - All Levels Sternberg Chrysler Dodge Jeep RamAutomotive Service Technician - All LevelsLouisville, KYFull timeSternberg Chrysler Center, Inc. is looking for All Levels of Automotive Mechanics / Auto Technicians to join their industry leading Service Team! Able to explain mechanical problems and needed repairs to Service Advisors and vehicle owners in a non-technical manner.
NewLicensed Optical Manager BJ's Wholesale ClubLicensed Optical ManagerLouisville, KYProvides support to Members in making eyeglass adjustments, taking measurements, reading prescriptions on the lensometer, timely notification of product readiness, proper handling of all money related transaction, and completing paperwork necessary to place and process orders. Provides a high level of Member service, including answering all incoming calls, scheduling patients for eye exams, being open and honest in communication and maintaining a friendly, pleasant demeanor with Members at all times.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNLagrange, KYAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
Case Manager II Volunteers of America Mid-StatesCase Manager IILouisville, KY$36,000–$39,000 / hourFull timeJOB SUMMARY AND QUALIFICATIONS:Case Manager will assist with services to individuals and families experiencing homelessness who have been approved for RRH or Joint RRH/TH services In tandem with other members of the VOA Home team, the Case Manager will assist clients in accessing medical and mental health services, emergency and long-term housing, substance abuse services, and social services. WHAT YOU MUST HAVE; Master of Social Work or a Master’s degree in a related field and less than five (5) years of work experience in the field; a person with a Bachelor of Social Work or a related undergraduate degree with more than five (5) years related work experience; or a person with nine (9) years of experience in the field and no degree would qualify for this position.
Program Manager - Family Stabilization Volunteers of America Mid-StatesProgram Manager - Family StabilizationLouisville, KY$52,000–$53,000 / yearFull timeWHAT YOU SHOULD HAVE FOR THIS ROLE:Has Master of Social Work or a Master’s degree in a related field and a minimum of 5 years of experience in the field; a Bachelor of Social Work or related undergraduate degree with 10 years or more of related work experience; or a person with 13 years of experience in the field and no degree would qualify for this position. VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS:Program Manager will be responsible to monitor services of clients enrolled in the housing stabilization program, in an effort to empower housing clients to become able to live more independently and reduce the probability of future homelessness.
NewLicensed Mental Health Therapist (Kentucky) SonderMindLicensed Mental Health Therapist (Kentucky)Jeffersontown, KYRemote$90–$113Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months. *Please note that SonderMind does not provide office space; therapists are responsible for securing their own location for in-person sessions, but we can help connect you with other SonderMind therapists looking to share space.
Restorative Justice Case Manager Specialist Lead "Internal Applicants Only" Volunteers of America Mid-StatesRestorative Justice Case Manager Specialist Lead "Internal Applicants Only"Louisville, KY$44,000–$47,500 / yearFull time20 Assist and support all VOA Restorative Justice project sites by working with the Program Manager and Director on new and existing projects, including case management, staff support, training, and travel. INTRODUCTION: Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service.
Program Manager Volunteers of America Mid-StatesProgram ManagerNew Albany, IN$55,000–$65,000 / yearFull timePOSITION TITLE: Program Manager LOCATION: New Albany, IN STATUS: Full Time, Salary, Exempt PROGRAM: VOA Community REPORTS TO: Director INTRODUCTION:Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service. VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS:The Program Manager has the overall responsibility for the program operations for VOA Community Clark and Floyd.
NewGeneral Manager Panera BreadGeneral ManagerMiddletown, KYBe an ambassador of our Guiding Values and Behaviors by making people smile, learning and growing together, finding solutions and taking initiative, working (and winning) as a team, having fun and celebrating success, and seeing the best in others! Own all aspects of leading, the bakery-cafe team include planning and managing staffing needs, scheduling, people development, career development, performance management, training, and succession planning.
Business Development Manager - Louisville V-Soft Consulting Group IncBusiness Development Manager - LouisvilleLouisville, KentuckyInternPartner with a world-class digital marketing team to target and nurture prospects we haven’t worked with before and collaborate with a global bench of subject-matter experts to tailor solutions that deliver more value than a customer’s next-best alternative. Will deeply understand each customer’s full scope of needs and package a holistic mix of solutions - strategic staffing, digital technology services, and infrastructure - to solve real business problems.
Assistant Property Manager Volunteers of America Mid-StatesAssistant Property ManagerLouisville, KY$17–$19 / hourFull timeINTRODUCTION: Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service. JOB SUMMARY AND QUALIFICATIONS:Assist Associate Director with the responsibilities of the daily operations of the entire property, Associate Director in administrative duties for both internal and external agencies, and maintaining positive relationships with the residents of the property.
NewTravel Nurse RN - Home Health - $1,954 to $2,246 per week in Louisville, KY Fusion Medical StaffingTravel Nurse RN - Home Health - $1,954 to $2,246 per week in Louisville, KYLouisville, KY$1,954–$2,246Summary: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 - $1,929 to $2,218 per week in La Grange, KY Fusion Medical StaffingTravel Nurse RN - Home Health - $1,929 to $2,218 per week in La Grange, KYLa Grange, KY$1,929–$2,218Summary: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 - $1,776 to $2,041 per week in Louisville, KY Fusion Medical StaffingTravel Nurse RN - Home Health - $1,776 to $2,041 per week in Louisville, KYLouisville, KY$1,776–$2,041Summary: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 - $1,923 to $2,211 per week in Jeffersonville, IN Fusion Medical StaffingTravel Nurse RN - Home Health - $1,923 to $2,211 per week in Jeffersonville, INJeffersonville, IN$1,923–$2,211Summary: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 Louisville, KY Fusion Medical StaffingTravel Nurse RN - Home Health - $1,964 to $2,258 per week in Louisville, KYLouisville, KY$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.
NewSystem Director, Authorization Management & Pre-Service Norton HealthcareSystem Director, Authorization Management & Pre-ServiceLouisville, KYThe System Director Authorization Management & Pre-Service collaborates with staff external to the organization (payors), as well as members of the Norton Healthcare team (Patient Financial Services, Registration, Norton Medical Group, Health Information Management, and Care Management). The team works closely with the hospital-based care managers and clinical offices to provide clinically accurate, timely and meaningful clinical reviews to payors in order to obtain authorizations.
NewOperations Manager United RentalsOperations ManagerLouisville, KYAs Operations Manager of Flooring and Facility Solutions (FFS) at United Rentals, you will leverage your leadership skills to build a new business from the ground up, coordinating and directing the delivery of "white glove" service to facility maintenance and restoration customers. The actual pay rate offered to candidates varies depending upon a wide range of factors including specific position, location, education, training, experience, skills, and ability.
NewPsychiatry Account Manager - New Albany, IN LundbeckPsychiatry Account Manager - New Albany, INLouisville, IN$120,000–$140,000Business Planning & Account Leadership - Ability to use digital tools and apply data-based insights to create opportunities, develop strategy & tactics, allocate resources to enhance sales execution, monitor progress and adjust direction to maximize sales performance. Willingness/Ability to travel up to 30% - 40% domestically to (a) regularly meet/interact with customer base and internal personnel within assigned territory; and (b) typically attend 4-8 internal/external conferences and meetings spanning locations within the United States.
NewDomain Architect – Field Technology (Utilities) JobotDomain Architect – Field Technology (Utilities)Louisville, KY$150,000–$180,000 / yearThe successful candidate will have deep experience designing and implementing enterprise-scale architectures supporting utility field operations, including work and asset management, GIS, outage management, mobile workforce solutions, scheduling and dispatch, and enterprise integration platforms. This individual will partner closely with business leaders, product owners, engineering teams, and enterprise architects to deliver scalable, secure, and resilient technology solutions that support operational excellence.
NewMedical Director Senior Community Care of KentuckyMedical DirectorLouisville, KYMust have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services.
NewChief Medical Director, MD Senior Community Care of KentuckyChief Medical Director, MDLouisville, KYMust have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services.
NewMedical Director, MD/DO Senior Community Care of KentuckyMedical Director, MD/DOLouisville, KYMust have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services.
NewChief Medical Director Senior Community Care of KentuckyChief Medical DirectorLouisville, KYMust have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services.
NewChief Medical Director, MD/DO Senior Community Care of KentuckyChief Medical Director, MD/DOLouisville, KYMust have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services.
NewMedical Director, MD Senior Community Care of KentuckyMedical Director, MDLouisville, KYMust have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services.
Maintenance Assistant II Volunteers of America Mid-StatesMaintenance Assistant IILouisville, KY$20–$22.50 / hourFull timePOSITION TITLE: Maintenance Assistant II LOCATION: Louisville, KY STATUS: Full Time, Hourly, Non-Exempt PROGRAM: Hud Housing - Monarch Station REPORTS TO: Property Manager INTRODUCTION:Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service. 4. Performs janitorial services including sweeping, mopping, waxing and buffing floors, dusting, cleaning restrooms, emptying trash, restocking common areas and restrooms with paper towels, soap, and other supplies of a similar nature.
Housing Navigator Volunteers of America Mid-StatesHousing NavigatorLouisville, KY$16–$16.82 / hourFull timeYou must have a demonstrated ability to provide a reasonable combination of the following knowledge, abilities, and skills: ability to access local resources, advocacy, working cooperatively with local service providers, knowledge of problems associated with target population, effective communication, ability to exercise tact, diplomacy, judgement, discretion, and honesty, and have a commitment to the principles of the SSVF program. POSITION TITLE: Housing Navigator LOCATION: Louisville, KY STATUS: Full Time, Hourly, Non-Exempt PROGRAM: VOA Honor REPORTS TO: Senior Director of Veteran Services INTRODUCTION:Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service.
NewFamily Nurse Practitioner/Physician Assistant Fast Pace HealthFamily Nurse Practitioner/Physician AssistantHanover, INPosting Title: Family Nurse Practitioner/Physician Assistant Overview: In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewCase Management Director Baptist Health Rehabilitation HospitalCase Management DirectorJeffersonville, INJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
NewFamily Nurse Practitioner- Up To $4,000 Relocation Assistance Fast Pace HealthFamily Nurse Practitioner- Up To $4,000 Relocation AssistanceLouisville, KYPosting Title: Family Nurse Practitioner- Up To $4,000 Relocation Assistance Overview: In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewARNP Fast Pace HealthARNPSalem, INPosting Title: Family Nurse Practitioner- Up To $4,000 Relocation Assistance Overview: In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewFamily Nurse Practitioner - 35$ Clinic Visits for Family Members Fast Pace HealthFamily Nurse Practitioner - 35$ Clinic Visits for Family MembersSalem, INPosting Title: Family Nurse Practitioner- Up To $4,000 Relocation Assistance Overview: In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewFamily Nurse Practitioner - Flexible Schedules Fast Pace HealthFamily Nurse Practitioner - Flexible SchedulesSalem, INPosting Title: Family Nurse Practitioner- Up To $4,000 Relocation Assistance Overview: In a manner consistent and supportive of our values, the Provider is responsible for delivering high quality health care within Fast Pace Health’s scope of services while achieving optimum patient satisfaction. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewCaregiver SevitaCaregiverHanover, INVehicles: May transport individuals into the community; drives safely and according to local laws; ensures proper use of safety equipment including seat belts, lifts and wheelchair ties; reports accidents to appropriate authorities immediately; reports accidents and safety concerns immediately to supervisor or maintenance personnel. Direct Support: Provides direct support or assistance in accordance with individual service or program plans; assists with socialization and behavioral development, personal care, housekeeping, recreational activities, transportation, community orientation, shopping, financial management, citizenship, and other activities of daily living.
Senior Manager of Proposal Writing (US State & Local Health and Human Services) MaximusSenior Manager of Proposal Writing (US State & Local Health and Human Services)Louisville, KYRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Collaborate with cross-functional teams including sales, marketing, technical experts, and graphic designers to develop comprehensive proposals.
NewSenior Marketing Manager Enrollment Communications & Services -Aetna Supplemental Health CVS Health CorpSenior Marketing Manager Enrollment Communications & Services -Aetna Supplemental HealthKY$67,900–$199,144 / yearCollaborate with stakeholders to provide strategic enrollment communications plans to support the Aetna Supplemental Health Plans (Accident, Critical Illness and Hospital Indemnity). Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Program Manager, Tenancy Support Services WellspringProgram Manager, Tenancy Support ServicesLouisville, KYFull timeThe Program Manager will support a team of approximately 3-6 employees as well as eligible participants in obtaining and maintaining stable, independent housing through pre-tenancy and tenancy-sustaining services, while coordinating closely with outside case managers, state-level case managers, waiver contacts, landlords, community providers, and Wellspring team members. This can include demonstrated experience developing, coordinating, and maintaining program workflows; managing referrals, service authorizations, documentation, or other program requirements; monitoring timelines, outcomes, and deliverables; communicating with internal and external partners; problem-solving operational barriers; and supporting continuous improvement of program processes.
NewChildren''s Services Case Manager Volunteers of AmericaChildren''s Services Case ManagerLouisville, KYJOB SUMMARY AND QUALIFICATIONS: The Administrative and Children's Services Manager is responsible for the overall oversight of children's services (including case management and other supportive services) the Family Emergency Shelter (C3 Campus), and Transitional Housing Programs (FES/TH). To work collaboratively with external agency partners (Metro United Way, JCPS, Wayside etc) and oversee services/programming offered by these partners (assessments, school bus transportation, daycare).To assist Sr.
NewENVIRONMENTAL SERVICES MANAGER 1st SHIFT Compass Group USAENVIRONMENTAL SERVICES MANAGER 1st SHIFTLouisville, KYCrothall has more than 32,000 team members, withcore services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Crothall Healthcare, a Compass Healthcare company, provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry.
ENVIRONMENTAL SERVICES MANAGER 1st SHIFT Compass Group North AmericaENVIRONMENTAL SERVICES MANAGER 1st SHIFTLouisville, KYCrothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Crothall Healthcare, a Compass Healthcare company, provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry.
Forensic and Valuation Services Manager Dean Dorton Allen Ford, PLLCForensic and Valuation Services ManagerLouisville, KYThe Forensic and Valuation Services (FVS) Manager is a key member of our advisory leadership team, responsible for leading valuation and forensic engagements, managing client relationships, and developing team members. This role may not be for you: If you prefer routine, behind-the-scenes work with minimal client interaction, are uncomfortable managing multiple projects under deadlines, or prefer to focus solely on analysis without team leadership or client communication.
Convention Services Manager - Marriott Louisville East Schulte Hospitality Group IncConvention Services Manager - Marriott Louisville EastLouisville, KYSchulte Hospitality Group provides a rewarding, fun and flexible work environment, exciting perks, an atmosphere designed to encourage and promote career growth within the company and a robust benefit package including, but not limited to: Work Today, Get Paid today, with Daily Pay! Our portfolio includes a wide array of reputable brands like Marriott, Hilton, IHG and Hyatt as well as many unique, independent, boutique and lifestyle properties and restaurants.
Manager, Investor Services - PA2026Q2GCC036- SS&C Technologies Holdings IncManager, Investor Services - PA2026Q2GCC036-KYRemote$70,000–$80,000 / yearThe Investor Services Manager at SS&C GIDS, Inc. is responsible for overseeing the daily operations of the Investor Services team, ensuring the accurate and timely processing of investor requests and transactions, and maintaining exceptional client relationships. Contribute to the development and implementation of new systems and technologies to support investor services operations, including tools supporting live chat and digital communication channels.
Senior Manager, Strategic Planning & Governance - Value-Based Services (VBS) CVS Health CorpSenior Manager, Strategic Planning & Governance - Value-Based Services (VBS)KY$67,900–$199,144 / yearDrive execution of VBC initiatives from problem identification through implementation and performance tracking; Coordinate across VBC Analytics, Network/Contracting, Clinical, Finance, and Market teams to drive aligned execution. This role partners closely with VBS leadership, National and Local market VBS teams, VBC Analytics, and operational stakeholders to drive the end-to-end execution of VBC initiatives.
Assistant Nurse Manager, Emergency Services, 7p-7a Norton HealthcareAssistant Nurse Manager, Emergency Services, 7p-7aLouisville, KentuckyPart timeThe Assistant Nurse Manager works collaboratively with the Nurse Manager to create and maintain a financially stable unit, and to promote self and staff development with an emphasis on evidence based practice and education supported by a Practice Governance framework. Responsibilities: The Assistant Nurse Manager is a professional nurse leader who has daily operational responsibility for a patient care area/department and focuses on safe effective patient and family centered care, customer satisfaction and quality outcomes.