NewInformation Technology Professional (IT Support) U.S. NavyInformation Technology Professional (IT Support)Bakersfield, CAKey Responsibilities As an Information Systems Technician, design, operate, secure, and restore networks, servers, and communication systems that support naval operations; as a Cryptologic Technician Networks specialist, conduct offensive and defensive cyber operations, investigate and track adversary activity, and help protect Navy networks and critical systems; as an Intelligence Specialist, collect and analyze information on adversaries, environments, and weather and create intelligence products and briefings for commanders. Pathways, Training & Advancement Recruit Training followed by Class A School in an information warfare specialty, such as IT or CTN at information warfare training sites and IS at intelligence training commands; advanced C schools and follow on training in areas such as cyber operations, network defense, digital forensics, signals analysis, targeting, imagery, language, and mission systems; progressive advancement based on qualifications, performance, and warfare pins such as Information Warfare and platform specific warfare designations.
NewInformation Systems Technician U.S. NavyInformation Systems TechnicianDelano, CAKey Responsibilities As an Information Systems Technician, design, operate, secure, and restore networks, servers, and communication systems that support naval operations; as a Cryptologic Technician Networks specialist, conduct offensive and defensive cyber operations, investigate and track adversary activity, and help protect Navy networks and critical systems; as an Intelligence Specialist, collect and analyze information on adversaries, environments, and weather and create intelligence products and briefings for commanders. Pathways, Training & Advancement Recruit Training followed by Class A School in an information warfare specialty, such as IT or CTN at information warfare training sites and IS at intelligence training commands; advanced C schools and follow on training in areas such as cyber operations, network defense, digital forensics, signals analysis, targeting, imagery, language, and mission systems; progressive advancement based on qualifications, performance, and warfare pins such as Information Warfare and platform specific warfare designations.
NewIT Professional U.S. NavyIT ProfessionalShafter, CAKey Responsibilities As an Information Systems Technician, design, operate, secure, and restore networks, servers, and communication systems that support naval operations; as a Cryptologic Technician Networks specialist, conduct offensive and defensive cyber operations, investigate and track adversary activity, and help protect Navy networks and critical systems; as an Intelligence Specialist, collect and analyze information on adversaries, environments, and weather and create intelligence products and briefings for commanders. Pathways, Training & Advancement Recruit Training followed by Class A School in an information warfare specialty, such as IT or CTN at information warfare training sites and IS at intelligence training commands; advanced C schools and follow on training in areas such as cyber operations, network defense, digital forensics, signals analysis, targeting, imagery, language, and mission systems; progressive advancement based on qualifications, performance, and warfare pins such as Information Warfare and platform specific warfare designations.
NewINFORMATION TECHNOLOGY SUPERVISOR II State Of CaliforniaINFORMATION TECHNOLOGY SUPERVISOR IIBakersfield, CA$8,504–$11,395 / yearPossess the ability to communicate professionally and effectively, both verbally and in writing, including the ability to negotiate credibly and persuasively, with a variety of stakeholders; Demonstrate ability to handle multiple priorities simultaneously and effectively; Exercise good judgement, work well under pressure, and meet deadlines; Demonstrate strong organizational and time management skills in a fast paced environment; and. Through systemwide improvements grounded in proven and emerging practices, we aim to strengthen rehabilitation, enhance workplace satisfaction, and support successful reentry into the community through our institutions, parole, and community partnerships.
Director, Academic Technology and Professional Development Kern Community College DistrictDirector, Academic Technology and Professional DevelopmentBakersfield, CA$134,531.96–$190,090.14 / yearApplicants with international or foreign degrees from colleges or universities outside of the United States must have their coursework evaluated by a professional association that is a member of the National Association of Credential Evaluation Services (NACES) or Academic Credentials Evaluation Institute, INC. Initiate and develop strategic collaborative projects with outside entities, including colleges, universities, nonprofit entities, and business organizations, using the platform of academic technology, distance education and professional development, which strengthen and enhance the work of the college.
Bksfld Area Lab Systems Coord CommonSpirit HealthBksfld Area Lab Systems CoordBakersfield, CARepresents the laboratory on information systems matters with other departments, MCG and LCG calls, including Cerner system upgrades, interface projects, billing updates and test code assignments, reference lab changes, and new test development and testing. To be successful in this role you will interact with physicians, nurses, ward clerks, phlebotomists, other clinical laboratory scientists and other health care professionals in the resolution of problems involving patient specimen collection and handling, appropriateness of specimens, clarification of orders and result reporting.
System Support Specialist II Kern Community College DistrictSystem Support Specialist IIBakersfield, CA$73,449.84–$103,782.72 / yearReceive, prioritize, and respond to Help Desk Service tickets, incoming calls, and e-mails regarding PC hardware and software problems and work toward attainment of key support goals such as average response time, mean time to repair, end-user satisfaction and number of problems resolved within a given period. Any combination of education and experience equivalent to: Associates degree in computer science, management information systems or related field and 3 years increasingly responsible experience in workstation, server, a local-area networking and server application support.
Desktop Support Technician II (Tier 2) Bakersfield, CA Grapevine MSP Technology ServicesDesktop Support Technician II (Tier 2) Bakersfield, CABakersfield, CA$54,121–$65,346As Microsoft Tier 1 Partners and active community supporters, we are known for our “let’s figure it out” culture, dedication to customer success, and passion for solving real-world technology challenges. We partner with clients to deliver proactive IT support, cybersecurity, cloud, and VoIP solutions, strategic consulting, and 24/7 help desk services.
Healthcare Application Analyst III – Hybrid (Must Reside Within Driving Distance; On-Site 1 Week/Month) Kern County Hospital AuthorityHealthcare Application Analyst III – Hybrid (Must Reside Within Driving Distance; On-Site 1 Week/Month)Bakersfield, CA$51.83–$69.66 / hourPart timePrinciples and methods of programming, report generation tool; principles and techniques of data communications between hospital application systems; systems and procedures analysis; electronic data processing and relational principles, techniques and capabilities, including office automation, mini and personal computers; principles of healthcare organizations and management; hospital information system applications and capabilities; patient processing and clinical systems; statistical gathering, processing and reporting; healthcare coding methodologies and billing practices; hospital/healthcare financial services processes and procedures; hospital or clinic based patient accounting, payroll, patient processing and medical records processes and procedures, principles of project management. Provides hospital-based data Clinical Support Systems expertise to address information needs relevant to hospital management and physicians to develop complex reports and databases through decision support applications and applets, report writing tools, spreadsheet software, statistical reporting tools, database systems and user training.
IT Helpdesk Specialist California Dairies IncIT Helpdesk SpecialistBakersfield, CATwisting/Turning: Each workday the office personnel extensively twist, turn and move their head, neck, shoulders, arms and hands at various angles performing heavy computer input, and comparing information from their computer monitor with paper documents. Grasping/Manipulating: Each workday the office personnel need full range of motion in both hands for heavy computer input and for using other office equipment including calculators, typewriter, and fax machines as well as for sorting through and organizing large stacks of documents.
Healthcare Application Analyst III – Hybrid (Must Reside Within Driving Distance; On-Site 1 Week/Month) Kern MedicalHealthcare Application Analyst III – Hybrid (Must Reside Within Driving Distance; On-Site 1 Week/Month)Bakersfield, CaliforniaPrinciples and methods of programming, report generation tool; principles and techniques of data communications between hospital application systems; systems and procedures analysis; electronic data processing and relational principles, techniques and capabilities, including office automation, mini and personal computers; principles of healthcare organizations and management; hospital information system applications and capabilities; patient processing and clinical systems; statistical gathering, processing and reporting; healthcare coding methodologies and billing practices; hospital/healthcare financial services processes and procedures; hospital or clinic based patient accounting, payroll, patient processing and medical records processes and procedures, principles of project management. Provides hospital-based data Clinical Support Systems expertise to address information needs relevant to hospital management and physicians to develop complex reports and databases through decision support applications and applets, report writing tools, spreadsheet software, statistical reporting tools, database systems and user training.
Computer Science Instructor - One Year Full Time Temporary Kern Community College DistrictComputer Science Instructor - One Year Full Time TemporaryBakersfield, CA$89,080.98–$116,884.82 / yearOther duties include: participation in student recruitment and articulation, transfer programs; maintaining subject matter currency; developing and revising curriculum; using computers and technology; assessment of learning outcomes; collegial participation in departmental, college and discipline-specific professional activities. The college serves 33,000 students annually on the 153-acre main campus in northeast Bakersfield, at the Delano Campus (35 miles north of Bakersfield), the Weill Institute (downtown Bakersfield), and BC South-West (southwest Bakersfield).
Regional IT Support Analyst - Greater Los Angeles Area Telecare CorpRegional IT Support Analyst - Greater Los Angeles AreaBakersfield, CA$83,685.70–$103,382.28 / yearWeekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift). Paid Time Off: Eligible employees (20+ hours/week) earn PTO each pay period for vacation and personal needs, with pro-rated accrual for part-time schedules and annual carryover up to set caps.
Accountant I/II/III - General Accounting - Full-Time Kern County Hospital AuthorityAccountant I/II/III - General Accounting - Full-TimeBakersfield, CA$26.51–$48.79 / hourPart timeIf the major has been in a field other than accounting, at least 15 semester or 25 quarter units of college level accounting courses must have been completed OR evidence of having passed all four parts of the Uniform Certified Public Accountant examination OR possession of a Certified Public Accountant certificate, AND three (3) years of progressively responsible general accounting and/or auditing experience or two (2) years of experience in governmental accounting and/or auditing. If the major has been in a field other than accounting, at least 15 semester or 25 quarter units of college level accounting courses must have been completed OR evidence of having passed all four parts of the Uniform Certified Public Accountant examination OR possession of a Certified Public Accountant certificate, AND two (2) years of progressively responsible general accounting and/or auditing experience or one (1) year of experience in governmental accounting and/or auditing.
Accountant I/II/III - General Accounting - Full-Time Kern MedicalAccountant I/II/III - General Accounting - Full-TimeBakersfield, CaliforniaIf the major has been in a field other than accounting, at least 15 semester or 25 quarter units of college level accounting courses must have been completed OR evidence of having passed all four parts of the Uniform Certified Public Accountant examination OR possession of a Certified Public Accountant certificate, AND three (3) years of progressively responsible general accounting and/or auditing experience or two (2) years of experience in governmental accounting and/or auditing. If the major has been in a field other than accounting, at least 15 semester or 25 quarter units of college level accounting courses must have been completed OR evidence of having passed all four parts of the Uniform Certified Public Accountant examination OR possession of a Certified Public Accountant certificate, AND two (2) years of progressively responsible general accounting and/or auditing experience or one (1) year of experience in governmental accounting and/or auditing.
IT Infrastructure Manager Omni Family HealthIT Infrastructure ManagerBakersfield, CAGED); Bachelor's degree in Computer Science (can be substituted with 6 years documented experience in supervision of staff administering networking, systems and core in organizations larger than 500 users and over 10 WAN geographically dispersed sites, Experience: Equivalent experience managing IT staff is required; Minimum 5 years' fulltime experience in Network or Systems Administration, preferably in a healthcare setting. Provides oversight and direction of administration of Security Event and Incident Management (SEIM) from logs and notifications related to IDS/IPS, Firewall logs, Web filters, Anti-virus Alerts, Zero Day attacks, and other network security systems.
Librarian (Tenure Track) Taft CollegeLibrarian (Tenure Track)CA$80,251–$141,563 / yearForeign transcripts issued outside the United States of America require a course-by-course analysis with an equivalency statement from a certified transcript evaluation service verifying the degree equivalency to that of an accredited institution within the USA. Minimum Qualifications An applicant may meet minimum qualifications in one of the ways listed below: Master's in library science, library and information science OR An Equivalency Determination may be submitted along with all application materials to be considered for this position if you do not meet the stated minimum qualifications.
Help Desk Support Specialist Grimmway Produce GroupHelp Desk Support SpecialistArvin, California$24–$27 / hourFull timeThis role supports end users by resolving basic issues and contributes to operational stability aligned with GPG’s objective of ensuring technology reliability while providing coverage at various locations and shifts as needed. Must be able to support various facilities, approximately 15 miles apart, in the greater Bakersfield area when needed and or support a rotational schedule this includes various worksites for an extended period.
Engineer-Interm Linux System Job DetailsEngineer-Interm Linux SystemLamont, CaliforniaReporting to the Director of Research Computing and Campus Infrastructure, the Intermediate Linux Systems Engineer will manage LDEO’s portfolio of Research Computing systems—designing and implementing new solutions as needs arise, while providing ongoing maintenance and operational support. Technical Expertise: Experience installing, configuring, and maintaining Unix/Linux systems on bare-metal, virtualized environments, or public cloud providers.
Manager of IT Services Certis USA LLCManager of IT ServicesWasco, CAServing as Certis Biologicals' primary internal technology leader, the role partners with MKI, executive leadership, business stakeholders, and external vendors to align technology initiatives with organizational objectives, including digitization and digitalization efforts. Position Summary: The Manager of IT Services provides strategic and operational leadership for Certis Biologicals' technology environment, ensuring reliable IT operations, cybersecurity, infrastructure stability, and business continuity.
Help Desk Support Specialist Grimmway Enterprises Inc.Help Desk Support SpecialistBakersfield, CA$24–$27 / hourThis role supports end users by resolving basic issues and contributes to operational stability aligned with GPG's objective of ensuring technology reliability while providing coverage at various locations and shifts as needed. Must be able to support various facilities, approximately 15 miles apart, in the greater Bakersfield area when needed and or support a rotational schedule this includes various worksites for an extended period.
Enrollment Services Associate San Joaquin Valley College, Inc.Enrollment Services AssociateBakersfield, CA$25–$29 / hourPart timeThe Enrollment Services Associate will promptly schedule and conduct interviews with prospective students, providing complete and accurate information regarding educational programs, expected outcomes, student services, and financial considerations while determining the appropriateness of candidates for enrollment. Conducts a high volume of outbound telephone calls and interviews with prospective students, providing complete and accurate information regarding educational programs, expected outcomes, student services, and financial considerations while determining the appropriateness of candidates for enrollment.
Director of Corporate and Governance Affairs Omni Family HealthDirector of Corporate and Governance AffairsBakersfield, CAJob Summary: Under the supervision of the Chief Of Staff (COS), the Director of Corporate and Governance Affairs (DCGA) of Omni Family Health (Omni) provides leadership and administrative support to a growing network of state-of-the-art health centers serving California's Central Valley. As a member of the Administration Department, the DCGA provides leadership and oversight to the Executive Office, corporate administration, and governance staff, ensuring effective execution of related functions and administrative operations in support of organizational objectives.
Manager Quality CommonSpirit HealthManager QualityBakersfield, CA$54.76–$81.45 / hourDignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
MANAGER, HUMAN RESOURCES The GEO Group IncMANAGER, HUMAN RESOURCESMcFarland, CAFrom the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Minimum Requirements: High school diploma with a minimum of seven (7) years of progressive professional experience in Human Resources or a Bachelor's degree from an accredited college or university in Human Resources or related field with five (5) years of experience working in a Human Resources position.
Pharmacy Manager Walgreen CoPharmacy ManagerBakersfield, CA$74.10–$90.55 / hourWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
RAD TECH EXTERN CommonSpirit HealthRAD TECH EXTERNBakersfield, CA$38.47–$47.90 / hourAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit Health and Proxima Careers are partnering to expand access to healthcare careers by providing training, job placement, and ongoing support, helping community members achieve stable, well-paying jobs.
Dental Office Manager Omni Family HealthDental Office ManagerShafter, CAJob Summary: Under the supervision of the Dental Health Services Administrator (DHSA), the Dental Office Manager (DOM) of Omni Family Health (Omni) provides leadership experience and knowledge to a growing network of state-of-the-art health centers serving California's Central Valley. Five (5) years of experience in the dental field as a dental assistant, and/or dental front office clerk, with two (2) years in a management position, preferably in a Federally Qualified Health Center (FQHC) setting.
Pediatric Dentist | Location Stipend Available Omni Family HealthPediatric Dentist | Location Stipend AvailableDelano, CATreats soft and hard tissue diseases of the oral cavity; performs surgery on oral tissues when necessary; renders prosthetic treatment when approved and indicated; designs and places orthodontic devices to correct minor malocclusion of teeth and renders any and all dental services to restore the oral health of the patient. As a member of the organization's Dental Department, the PD is responsible for diagnosing and treating dental conditions specific to infants, children, and teenagers, provides preventative care, oral health education, and delivers optimal therapeutic services.
Enhanced Care Management Care Coordinator Omni Family HealthEnhanced Care Management Care CoordinatorBakersfield, CAThe ECM Care Coordinator will work closely with a multi-disciplinary team in the health home model, outpatient case management and primary care to develop and provide clinical services that are necessary to achieve an extended healthcare focus beyond the inpatient setting or traditional primary care of specialist office visits. Has the ability to independently assess the psychosocial functioning needs of patients and their family members and to formulate and implement a treatment plan, identifying the patient's problems, strengths, weaknesses, coping skills and assistance needed, in collaboration with the patient, family and interdisciplinary treatment team.
Registered Dental Hygienist Omni Family HealthRegistered Dental HygienistBakersfield, CAJob Summary: Under the direct supervision of the Dental Quality and Outreach supervisor, the registered dental hygienist of Omni Family Health (Omni) provides quality dental care and associated services to patients under the general supervision of a dentist and using established dental hygiene procedures. Evaluate overall oral health, examining oral cavity for signs of periodontal disease or possible cancers, including recessed & bleeding gums, and oral lesions.
Licensed Behavioral Health Therapist Omni Family HealthLicensed Behavioral Health TherapistBakersfield, CACurrent and valid license to practice as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), or Licensed Professional Clinical Counselor (LPCC) issued by the California Board of Behavioral Science (BBS). Formulates diagnoses and develops individualized treatment utilizing therapeutic techniques such as, but not limited to, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, Person-Centered Therapy, and Trauma-Focused Therapy.
Compensation Analyst Omni Family HealthCompensation AnalystBakersfield, CAJob Summary: Under the supervision of the Director of Human Resources (DHR) and the Chief Human Resources Officer (CHRO), the Compensation Analyst will develop compensation structures to optimize hiring and maximize employee retention by analyzing remuneration packages and job descriptions. • Audits: Actively contributes to required Health Resources and Services Administration (HRSA) Operational Site Visit (OSV), The Joint Commission, and other audit events.
NewHospital Business Specialist I/II - Physician Enterprise - Full Time Kern County Hospital AuthorityHospital Business Specialist I/II - Physician Enterprise - Full TimeBakersfield, CA$20.44–$29.04 / hourPart timeAbility to : Communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines pertaining to billing, reimbursement, contracts, and other fiscal activities; obtain information from a variety of sources, including patients and families; use computers and various software to accomplish work; perform various adjustments to accounts; establish and maintain effective working relationships with patients, families, third-party payers and guarantors, and other internal and external customers. Hospital (UB04) and professional billing (CMS 1500) claim practices and procedures; state and federal government funding programs such as Medicare, Medi-Cal, California Children’s Services, TRICARE/CHAMPUS, and Workers’ Compensation; commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical, insurance, and coding terminology; HIPAA privacy and compliance practices.
Commencement & Academic Affairs Events Planner California State University, BakersfieldCommencement & Academic Affairs Events PlannerBakersfield, CaliforniaThe position serves as the primary liaison for major Academic Affairs and Provost-sponsored events, develops and implements event management procedures and operational strategies, provides lead work direction to staff, student assistants, volunteers, and vendors, and recommends process improvements to enhance operational effectiveness and the overall event experience. The Commencement & Academic Affairs Events Planner provides advanced event management expertise and exercises independent judgment in coordinating all aspects of event planning and execution, including project management, stakeholder engagement, logistical operations, communications, vendor relations, budget administration, contract coordination, and event assessment.
Commencement & Academic Affairs Events Planner California State UniversityCommencement & Academic Affairs Events PlannerBakersfield, CAThe position serves as the primary liaison for major Academic Affairs and Provost-sponsored events, develops and implements event management procedures and operational strategies, provides lead work direction to staff, student assistants, volunteers, and vendors, and recommends process improvements to enhance operational effectiveness and the overall event experience. The Commencement & Academic Affairs Events Planner provides advanced event management expertise and exercises independent judgment in coordinating all aspects of event planning and execution, including project management, stakeholder engagement, logistical operations, communications, vendor relations, budget administration, contract coordination, and event assessment.
NewHospital Business Specialist I/II - Physician Enterprise - Full Time Kern MedicalHospital Business Specialist I/II - Physician Enterprise - Full TimeBakersfield, CaliforniaAbility to : Communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines pertaining to billing, reimbursement, contracts, and other fiscal activities; obtain information from a variety of sources, including patients and families; use computers and various software to accomplish work; perform various adjustments to accounts; establish and maintain effective working relationships with patients, families, third-party payers and guarantors, and other internal and external customers. Hospital (UB04) and professional billing (CMS 1500) claim practices and procedures; state and federal government funding programs such as Medicare, Medi-Cal, California Children’s Services, TRICARE/CHAMPUS, and Workers’ Compensation; commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical, insurance, and coding terminology; HIPAA privacy and compliance practices.
System Manager Performance Improvement CommonSpirit HealthSystem Manager Performance ImprovementBakersfield, CAAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. A significant part of your role involves working directly with leaders in designated facilities, leveraging your strong finance experience to deepen their operational knowledge and ensure consistent adherence to labor productivity budget and financial targets.
Director of Clinical Education - Respiratory Therapy San Joaquin Valley College, Inc.Director of Clinical Education - Respiratory TherapyBakersfield, CA$85,000–$98,000 / yearPart timeCore Competencies: Integrity and Ethics - Demonstrates personal integrity; serves as a positive example of why others should trust the motives of the organization; views self as a reflection of the organization by following through on commitments and accepting ownership of mistakes; treats people with respect; keeps commitments; inspires the trust of others and upholds organizational values. Student Success Focus – Personally, demonstrates that students and employers are a high priority; identifies student needs and expectations and responds to them in a timely and effective manner; anticipates and prevents delays or other things that can adversely affect the student; keeps student informed about progress.
Care Coordinator-ECM - Greenfield CHC Clinica Sierra VistaCare Coordinator-ECM - Greenfield CHCBakersfield, CACare Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools. Resolves unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment.