NewAssociate Medical Assistant (AMA), Medical Assistant Registered (MA-R), Medical Assistant (MA-C) - Provadv Providence Health and ServicesAssociate Medical Assistant (AMA), Medical Assistant Registered (MA-R), Medical Assistant (MA-C) - ProvadvRenton, WAOur strong team environment and respect for our people—at all levels and from all backgrounds—allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties.
NewMedical Assistant / MA-C - Scheduling Providence Health and ServicesMedical Assistant / MA-C - SchedulingRochester, WA$23.27–$35.60 / hourProvidence Medical Group (PMG) South West is part of Providence Clinical Network which provides an extensive range of ambulatory services to patients throughout Alaska, California, Montana, Oregon and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewMedical Assistant/ MA-C - Primary Care Providence Health and ServicesMedical Assistant/ MA-C - Primary CareFederal Way, WA$22.62–$35.22 / hourTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Coursework/Training: Minimum one year of work experience as a medical assistant that includes the following clinical skills: obtaining vital signs, administering injections, and medication administration.
NewMedical Assistant Registered / MA-R Providence Health and ServicesMedical Assistant Registered / MA-ROlympia, WAProvidence Medical Group (PMG) South West is part of Providence Clinical Network which provides an extensive range of ambulatory services to patients throughout Alaska, California, Montana, Oregon and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewAssociate Medical Assistant Registered WA Providence Health and ServicesAssociate Medical Assistant Registered WAOlympia, WA$20.76–$27.05 / hourProvidence Medical Group (PMG) South West is part of Providence Clinical Network which provides an extensive range of ambulatory services to patients throughout Alaska, California, Montana, Oregon and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewPhysician Assistant (PA-C) JobotPhysician Assistant (PA-C)Tacoma, WA$130,000–$180,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. * Spine or Ortho Spine experience including spinal cord injuries, spine tumors, spine injections, spinal defects, bone spurs, back sprains, osteoporosis, neuromuscular diseases, etc.
Physician Assistant Sterling Medical CorporationPhysician AssistantTacoma, WAFull timeProvide Physician Assistant services at Ft. Bliss in support of Soldier Readiness Processing (SRP). -Review patient EMR and interview patients to assess fitness for duty for deployment readiness.
Relationship Banking Assistant Heritage BankRelationship Banking AssistantTacoma, WA$29.61–$35.54 / hourLevel II - 2+ years recent experience in commercial and/or retail branch banking, which includes cash handling, new accounts opening, documentation and compliance, relationship management and business development and sales skills, in a financial services industry required. May travel for business development and customer meetings; willingness to travel to other branch locations when needed; valid driver’s license, proof of insurance, and access to reliable transportation; or the ability to access and utilize an alternative method of transportation, when needed, to carry out job-related essential functions.
Assistant Manager - Branch Banking Heritage BankAssistant Manager - Branch BankingFederal Way, WA$31.83–$38.20 / hourThe Federal Way Branch is seeking an Assistant Manager - Branch Banking to ensure overall operational efficiency and soundness of the branch and proactively partner with the Branch Relationship Manager in leading a branch team to achieve service, sales, profitability and operational excellence in accordance with the Heritage Bank Mission, Vision, and Values. 3+ years’ recent experience in retail banking branch operations, sales and new accounts, to include a minimum of 2 years in a lead or supervisory role and demonstrated success in leading, coaching, and motivating a team, within a financial services industry – required.
NewCertified Nursing Assistant (CNA) - up to $25/hr Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $25/hrTacoma, WA$25ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
NewAssistant Director, Aquatics Great Wolf LodgeAssistant Director, AquaticsCentralia, WA$82,000–$87,000An employee’s pay position within the salary range will be based on several factors, including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. The Assistant Director of Aquatics is responsible for assisting the Director with the overall management and operation of the waterpark, leadership and development of aquatics staff, and financial planning/execution.
Nursing Assistant Part-time Faculty Tacoma Community CollegeNursing Assistant Part-time FacultyTacoma WA 98466, WA, WA$1,866–$2,186 / monthWe are specifically focusing on improved support for traditionally marginalized populations, including Black/African- American, Indigenous, People of Color, Dreamers, justice-involved, immigrants and refugees, Veterans, people with disabilities, neurodivergent people, and the LGBTQIA2+ community. This position offers the opportunity to shape future nursing assistants by teaching in various settings, including the classroom, skills labs, and clinical environments, while advancing equity and excellence in nursing assistant education.
NewCertified Nursing Assistant (CNA) Shiftkey, LLCCertified Nursing Assistant (CNA)Tacoma, WA$25ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
NewAssistant Director of Nursing (ADON) (Registered Nurse/RN) Garden Terrace Healthcare Center of Federal WayAssistant Director of Nursing (ADON) (Registered Nurse/RN)Federal Way, WA$110,000–$130,000We are affiliated with Life Care Centers of America, which is a privately owned, 47-year industry leader in healthcare with more than 200 facilities across the US. Perform proficiently in all competency areas including but not limited to: nursing care, supervisory responsibilities,, infection control, patient rights, and safety and sanitation.
Temporary Events Assistant - Part-Time Tacoma Community CollegeTemporary Events Assistant - Part-TimeTacoma WA 98466, WA, WA$20 / hourMoreover, TCC stands in solidarity with Black Lives Matter and the Black community by further strengthening collaboration with the Black Student Union as well as community entities such as the Tacoma-Pierce County Black Collective, the Tacoma Urban League, and local black-owned businesses. We are specifically focusing on improved support for traditionally marginalized populations, including Black/African- American, Indigenous, People of Color, Dreamers, justice-involved, immigrants and refugees, Veterans, people with disabilities, and the LGBTQ+ community.
Assistant Coach Tacoma Community CollegeAssistant CoachTacoma WA 98466, WA, WA$3,000–$3,500 / monthTemporaryMoreover, TCC stands in solidarity with Black Lives Matter and the Black community by further strengthening collaboration with the Black Student Union as well as community entities such as the Tacoma-Pierce County Black Collective, the Tacoma Urban League, and local black-owned businesses. We are specifically focusing on improved support for traditionally marginalized populations, including Black/African- American, Indigenous, People of Color, Dreamers, justice-involved, immigrants and refugees, Veterans, people with disabilities, and the LGBTQ+ community.
Senior Assistant Store Manager Spencer Gifts - Spirit HalloweenSenior Assistant Store ManagerOlympia, WA$21.13–$21.38 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Assistant Store Manager - Spencer's Spencer Gifts - Spirit HalloweenAssistant Store Manager - Spencer'sAuburn, WA$19.13–$19.38 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Clinical Concierge Medical Assistant (MA-C) - Urgent Care MultiCare Health SystemClinical Concierge Medical Assistant (MA-C) - Urgent CareUniversity Place, WAFull timeExceptions may be made for applicants currently in an externship or residency program with an active or pending WA DOH MA-R certification within 7 days of hire Washington State Medical Assistant-Certified (MA-C) license within 45 days of hire. Career growth focuses onleadership pathways, mentor/preceptor opportunities, and tuition reimbursement program (100% of tuition and fees or up to $5,250 for full-time employees/$2,500 for part-time employees per year).
Medical Assistant - Medical/Surgical Weight Loss MultiCare Health SystemMedical Assistant - Medical/Surgical Weight LossOlympia, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Recognized for excellence in patient safety, the hospital offers more than 20 specialties including emergency services, surgical care and a dedicated birth center - all delivered with compassion and integrity.
Clinical Concierge Medical Assistant (MA-C) - Occupational Medicine MultiCare Health SystemClinical Concierge Medical Assistant (MA-C) - Occupational MedicineFederal Way, WAFull timeExceptions may be made for applicants currently in an externship or residency program with an active or pending WA DOH MA-R certification within 7 days of hire Washington State Medical Assistant-Certified (MA-C) license within 45 days of hire. The Clinical Concierge Medical Assistant is an incredible opportunity to expand your role in health care through performing clinical tasks and coordinating patient care within the MA-C license scope.
Medical Assistant / MA-C - Scheduling Providence St. Joseph HealthMedical Assistant / MA-C - SchedulingChehalis, WAFull timeProvidence Medical Group (PMG) South West is part of Providence Clinical Network which provides an extensive range of ambulatory services to patients throughout Alaska, California, Montana, Oregon and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Medical Assistant/ MA-C - Primary Care Providence St. Joseph HealthMedical Assistant/ MA-C - Primary CarePuyallup, WAFull timeCoursework/Training - Graduate of an accredited school that includes hands on training in a clinical setting for medical assistants or, Coursework/Training - Graduate of a registered medical assistant apprenticeship program or, Coursework/Training - Has completed two years of medical training in the United States Armed Forces or, Coursework/Training - Minimum one year of work experience as a medical assistant that includes the following clinical skills: obtaining vital signs, administering injections, and medication administration. Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Medical Assistant - Pediatric Urgent Care Clinic MultiCare Health SystemMedical Assistant - Pediatric Urgent Care ClinicGig Harbor, WAFull timeThis per diem Medical Assistant position would primarily support our Pediatric Urgent Care Clinic in Gig Harbor, but would also be required to pick up additional shifts and support our Pediatric Urgent Care Clinics in Olympia and Tacoma as needed. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.
Medical Assistant Pulse Vascular Clinic MultiCare Health SystemMedical Assistant Pulse Vascular ClinicTacoma, WAFull timeOur team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies. MultiCare's Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines.
Medical Assistant - Family Medicine MultiCare Health SystemMedical Assistant - Family MedicinePuyallup, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant MultiCare Health SystemMedical AssistantOlympia, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Recognized for excellence in patient safety, the hospital offers more than 20 specialties including emergency services, surgical care and a dedicated birth center - all delivered with compassion and integrity.
Medical Assistant - Women's Health MultiCare Health SystemMedical Assistant - Women's HealthGig Harbor, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant - Pediatric Clinics Float MultiCare Health SystemMedical Assistant - Pediatric Clinics FloatTacoma, WAFull timeAs a comprehensive pediatric health network, Mary Bridge delivers expert, family-centered care across inpatient, outpatient and specialty services, supported by multidisciplinary teams dedicated to the unique needs of every child and family we serve. Named a Top Children's Hospital by The Leapfrog Group, earning this national recognition six times in the past eight years, with physicians consistently recognized on Top Doctors lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune.
Medical Assistant - ENT. MultiCare Health SystemMedical Assistant - ENT.Tacoma, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant - Internal Medicine MultiCare Health SystemMedical Assistant - Internal MedicineAuburn, WAFull timeMultiCare Auburn Medical Center, serving South King County since 1921, is a 195-bed hospital with 58 behavioral health beds, a Family Birth Center, Level II NICU, Level III Trauma Center, MultiCare Regional Heart & Vascular Center, and advanced surgical services including robotic-assisted procedures. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.
Medical Assistant Float MultiCare Health SystemMedical Assistant FloatAuburn, WAFull timeMultiCare Auburn Medical Center, serving South King County since 1921, is a 195-bed hospital with 58 behavioral health beds, a Family Birth Center, Level II NICU, Level III Trauma Center, MultiCare Regional Heart & Vascular Center, and advanced surgical services including robotic-assisted procedures. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.
Medical Assistant - Child Abuse Intervention Department MultiCare Health SystemMedical Assistant - Child Abuse Intervention DepartmentTacoma, WAFull timeAdditional information about the Mary Bridge Children's Child Abuse Intervention Department can be found here: https://www.marybridge.org/patients-visitors/patient-family-support-services/child-abuse-intervention/. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.
Medical Assistant - Pediatric Clinic MultiCare Health SystemMedical Assistant - Pediatric ClinicPuyallup, WAFull timeAdditional information about the Mary Bridge Children's Pediatrics - Evergreen Clinic can be found here: https://www.marybridge.org/locations/mary-bridge-childrens-pediatrics-evergreen/. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.
Medical Assistant Vascular Surgery MultiCare Health SystemMedical Assistant Vascular SurgeryTacoma, WAFull timeOur team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies. MultiCare's Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines.
Medical Assistant - Spine & Interventional Pain MultiCare Health SystemMedical Assistant - Spine & Interventional PainPuyallup, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Whether you're looking to advance your research, take on leadership opportunities, or be part of strategic initiatives that expand access to quality care, you'll find your place in our growing community of dedicated professionals.
Medical Assistant - Pediatric ENT Clinic MultiCare Health SystemMedical Assistant - Pediatric ENT ClinicFederal Way, WAFull timeAs a comprehensive pediatric health network, Mary Bridge delivers expert, family-centered care across inpatient, outpatient and specialty services, supported by multidisciplinary teams dedicated to the unique needs of every child and family we serve. Named a Top Children's Hospital by The Leapfrog Group, earning this national recognition six times in the past eight years, with physicians consistently recognized on Top Doctors lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune.
Medical Assistant-Rheumatology MultiCare Health SystemMedical Assistant-RheumatologyTacoma, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant MultiCare Neuroscience Institute Olympia MultiCare Health SystemMedical Assistant MultiCare Neuroscience Institute OlympiaOlympia, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Whether you're looking to advance your research, take on leadership opportunities, or be part of strategic initiatives that expand access to quality care, you'll find your place in our growing community of dedicated professionals.
Medical Assistant - Family Medicine. MultiCare Health SystemMedical Assistant - Family Medicine.Spanaway, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant - Neuroscience MultiCare Health SystemMedical Assistant - NeuroscienceAuburn, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Whether you're looking to advance your research, take on leadership opportunities, or be part of strategic initiatives that expand access to quality care, you'll find your place in our growing community of dedicated professionals.
Medical Assistant - Pediatric Orthopedic Clinic MultiCare Health SystemMedical Assistant - Pediatric Orthopedic ClinicTacoma, WAFull timeAs a comprehensive pediatric health network, Mary Bridge delivers expert, family-centered care across inpatient, outpatient and specialty services, supported by multidisciplinary teams dedicated to the unique needs of every child and family we serve. Named a Top Children's Hospital by The Leapfrog Group, earning this national recognition six times in the past eight years, with physicians consistently recognized on Top Doctors lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune.
Medical Assistant - Interventional Pain MultiCare Health SystemMedical Assistant - Interventional PainAuburn, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Whether you're looking to advance your research, take on leadership opportunities, or be part of strategic initiatives that expand access to quality care, you'll find your place in our growing community of dedicated professionals.
Medical Assistant - Pediatric Cardiology Clinic MultiCare Health SystemMedical Assistant - Pediatric Cardiology ClinicTacoma, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. Additional information about the Mary Bridge Children's Cardiology Clinic can be found here: https://www.marybridge.org/location/mary-bridge-childrens-cardiology/.
Medical Assistant - Urology MultiCare Health SystemMedical Assistant - UrologyTacoma, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant - Pediatric GI Clinic MultiCare Health SystemMedical Assistant - Pediatric GI ClinicTacoma, WAFull timeAs a comprehensive pediatric health network, Mary Bridge delivers expert, family-centered care across inpatient, outpatient and specialty services, supported by multidisciplinary teams dedicated to the unique needs of every child and family we serve. Named a Top Children's Hospital by The Leapfrog Group, earning this national recognition six times in the past eight years, with physicians consistently recognized on Top Doctors lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune.
Medical Assistant, per diem - Orthopedics/ Sports Medicine MultiCare Health SystemMedical Assistant, per diem - Orthopedics/ Sports MedicinePuyallup, WAFull timeThe Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant Outpatient Behavioral Health MultiCare Health SystemMedical Assistant Outpatient Behavioral HealthBurien, WAFull timeThe Medical Assistant position at MultiCare will allow you to engage with patient customers while working closely with your clinical team to provide excellent customer service and patient care. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Medical Assistant-Surgical Oncology MultiCare Health SystemMedical Assistant-Surgical OncologyTacoma, WAFull timeMultiCare Cancer Institute is a physician-led, multi-specialty group within MultiCare Health System, delivering integrated hematology, oncology, radiation, surgical and supportive care across Washington state. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.
Medical Assistant - Surgical Oncology MultiCare Health SystemMedical Assistant - Surgical OncologyPuyallup, WAFull timeMultiCare Cancer Institute is a physician-led, multi-specialty group within MultiCare Health System, delivering integrated hematology, oncology, radiation, surgical and supportive care across Washington state. The Certified Medical Assistant (MA-C) is an integral part of the Physician/Advanced Practice Provider (APP) office team working under the direction and supervision of a licensed healthcare practitioner.