Associate Medical Director JobotAssociate Medical DirectorSt. Louis, MO$250,000–$300,000 / 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. The successful candidate will play a key role in shaping the future of our healthcare services, driving quality improvement, and leading our dedicated team of physicians.
NewAssociate Medical Director | Kansas City, MO | Making over $350,000 OptigyAssociate Medical Director | Kansas City, MO | Making over $350,000Kansas City, MOTo support continued growth, our client is seeking high-caliber primary care physicians and clinical leaders who are motivated by purpose, professional development, and the opportunity to make a meaningful impact in the lives of patients and communities. Our client is a physician-led, mission-driven primary care organization dedicated to transforming healthcare for seniors through high-quality, value-based care.
NewEmergency Medicine Medical Director Opportunity in Potosi, MO CHG HealthcareEmergency Medicine Medical Director Opportunity in Potosi, MOPotosi, MOYour specialty-specific CompHealth rep places your best interests at the heart of everything they do and pays careful attention to the things that matter to you, from the big, hard-to-solve problems to the tiniest details. Whether you are searching for a position in your area or in another state, we have professionals to help you achieve your goals through our relationships with facilities nationwide - in rural settings, small cities, and major metropolitan areas.
NewMedical Director - Physician - MD/DO - Breast Imaging Radiologist SSM HealthMedical Director - Physician - MD/DO - Breast Imaging RadiologistBridgeton, MOThe organization's footprint includes hospitals, physician offices, outpatient and virtual care services, senior care, comprehensive home care and hospice services, a fully transparent pharmacy benefit company, a health insurance company and an accountable care organization. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health provides convenient access to high-quality community-based services as well as world-class academic medicine, clinical trials, and research studies.
NewEmergency Medicine Medical Director Opportunity in Kirksville, Missouri CHG HealthcareEmergency Medicine Medical Director Opportunity in Kirksville, MissouriKirksville, MOKirksville boasts an excellent educational system, a wide variety of retail shops, numerous hotels, bed and breakfasts, 4 distinct weather seasons, an 18-hole, semi-private golf course, and a community theater. Your specialty-specific CompHealth rep places your best interests at the heart of everything they do and pays careful attention to the things that matter to you, from the big, hard-to-solve problems to the tiniest details.
Associate Director of Tax Kforce Inc.Associate Director of TaxHazelwood, MO$180,000–$195,000Key Responsibilities: Lead the preparation and coordination of quarterly and annual consolidated income tax provisions in accordance with ASC 740, including current and deferred taxes, uncertain tax positions, effective tax rate analysis, and related SOX compliance activities. This role is responsible for overseeing critical aspects of global income tax reporting, supporting strategic transactions and integrations, and contributing to the continued enhancement of tax processes and reporting operations.
Senior Director of Accounting Kforce Inc.Senior Director of AccountingSaint Louis, MO$190,000Kforce's client, a growing organization in Saint Louis, MO, is seeking a Senior Director of Accounting to lead key accounting functions, drive process improvements, and develop a high-performing team. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
Director of Accounting Kforce Inc.Director of AccountingSaint Louis, MO$140,000–$150,000This is an exciting leadership opportunity with a growing company, offering the chance to drive accounting operations, lead a high-performing team, and make a meaningful impact on the organization's continued success. Review financial results, key account activity, and balance sheet reconciliations to identify trends, resolve discrepancies, and communicate significant variances to senior leadership.
NewOB Hospitalist - Director Opportunity - Sedalia OptigyOB Hospitalist - Director Opportunity - SedaliaSedalia, MOHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
NewOB Hospitalist - Director Opportunity - Springfield OptigyOB Hospitalist - Director Opportunity - SpringfieldSpringfield, MOHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
NewLead Medical Technologist Centerpoint Medical CenterLead Medical TechnologistIndependence, MOOur Outpatient Services include a Surgery Center, Advanced Wound Care Center, Pain Center, Sleep Disorder Center, Imaging, and Rehab. 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.
NewDirector-Nursing OB/NICU/PEDS MercyDirector-Nursing OB/NICU/PEDSCape Girardeau, MOFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Director of Nursing for OB/NICU/PEDS at Mercy Hospital Southeast in Cape Girardeau, Missouri.
NewDivision Director - Physician - MD/DO - Geriatrician SSM HealthDivision Director - Physician - MD/DO - GeriatricianSaint Louis, MOThe Division of Geriatric Medicine is one of the most prominent divisions in the country and has substantial clinical, teaching and research programs in place, including a fully accredited geriatric medicine fellowship program, basic science research program, and a long-standing Geriatric Workforce Enhancement Grant. Areas of special interest currently include: Post-acute and long-term care medicine, Frailty and sarcopenia, Pathogenesis and treatment of Alzheimer's disease, Education of patients, The public and health care providers about issues related to aging.
NewDivision Director - Academic Physician - MD/DO - Rheumatologist SSM HealthDivision Director - Academic Physician - MD/DO - RheumatologistSaint Louis, MOThe Division of Rheumatology provides comprehensive care for adult patients with a wide spectrum of conditions, including rheumatoid arthritis, juvenile idiopathic arthritis, systemic lupus erythematosus, and other complex autoimmune and connective tissue disorders. SSM Health Saint Louis University Hospital, a LEVEL 1 Time Critical Diagnosis hospital in Stroke, Trauma and STEMI, is at the forefront of ground-breaking medical treatments, procedures, clinical trials and comprehensive patient care.
NewResidency Program Director - Physician - MD/DO - Internal Medicine SSM HealthResidency Program Director - Physician - MD/DO - Internal MedicineSaint Louis, MOThe 525-bed hospital offers a wide variety of in and outpatient services, including cancer care, a wound center, CV and open-heart surgery, a chest pain center, and advanced stroke care. Reporting to the Chair of the Department of Internal Medicine, the Program Director will lead an established, ACGME-accredited program with the faculty, academic depth, and institutional commitment to shape the next generation of internists.
NewDivision Director - Physician - MD/DO - Pulmonary Critical Care and Sleep Medicine SSM HealthDivision Director - Physician - MD/DO - Pulmonary Critical Care and Sleep MedicineSaint Louis, MOThe Division excels in providing state-of-the-art services in interventional pulmonary care, with specialty programs such as the pulmonary embolism response team, Airway Breathing Center, post-ICU clinic, and interstitial disease and sarcoidosis program. In addition, candidates should demonstrate outstanding leadership skills and administrative experience gained in an academic medical center setting, alongside a strong dedication to clinical care, education, service, and research.
Travel Director of Rehab (DOR) - $2,010 per week in Independence, MO TalentBurst Inc.Travel Director of Rehab (DOR) - $2,010 per week in Independence, MOIndependence, MO$2,010Any additional information that would entice a worker to select your unit for their assignment: Consider items such as new equipment or technology, tenure and experience of staff, schedule options, etc. Requested Skill Set: Inpatient Acute Rehab experience, familiarity with FIM and CARE Tool measures.
Director, Registered Nurse - Critical Care Services SSM HealthDirector, Registered Nurse - Critical Care ServicesSaint Louis, MOJob Highlights: Named 150 Top Places to Work in Healthcare 2025 - Becker‘s Healthcare Named One of the World’s Happiest Workplace 2025 – WorkL Named One of America‘s Best In-State Employers 2025 - Forbes Named One of America‘s Greatest Workplaces for Women 2025 – Newsweek Named One of America’s Greatest Workplaces for Culture, Belonging & Community 2026 – Newsweek. With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization.
Registered Nurse - Clinical Float - Medical/Surgical SSM HealthRegistered Nurse - Clinical Float - Medical/SurgicalSaint Louis, MOThe Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc.
NewChief Nursing Officer Pivotal Placement ServicesChief Nursing OfficerSt Louis, MOHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer Focused Workforce Solutions include, Right-to-Hire Contract Staffing, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally.
Supervisory Medical Director, National Physical Health Appeals Outpatient UM Centene Corporation GroupSupervisory Medical Director, National Physical Health Appeals Outpatient UMMO$236,500–$449,300 / yearProvides operational leadership, coaching and mentorship for a team of front-line medical directors including, but not limited to, scheduling for Utilization Management coverage, annual performance goal development, routine 1:1s, mentorship/career development, and annual evaluations. Collaborates closely with clinical teams, UM teams, and network providers to ensure understanding and adherence to utilization management clinical coverage criteria.
Inpatient Care Management, Medical Director licensed in MO - Remote in MO UnitedHealth Group IncInpatient Care Management, Medical Director licensed in MO - Remote in MOMORemote$248,500–$373,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role.
Full-Time Medical Director - Northeast Regional Medical Center SCP HealthFull-Time Medical Director - Northeast Regional Medical CenterKirksville, MORecruiter Info: Kathleen Segura | 337-609-1442 | Kathleen_segura@scphealth.com | Schedule time to speak with Kathleen - https://calendly.com/kathleen_segura-scphealth/30min. As a physician-founded and physician-led organization specializing in emergency, hospital, and critical care medicine, we believe clinicians should focus on what matters mostdelivering exceptional patient care.
Senior Medical Director, Digital Innovation CVS Health CorpSenior Medical Director, Digital InnovationMO$184,112–$396,550 / yearReporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, and partnering across Analytics, Technology, Clinical Operations, Enterprise AI, Product, and Aetna Medical Affairs, this leader will shape how Aetna sources, evaluates, and scales member-facing clinical AI products; how the Aetna Health app and omni-channel digital platforms are designed to activate members; and how AI is embedded into clinical workflows to extend the reach and impact of our care teams. As Senior Medical Director, Digital Innovation at Aetna, a CVS Health company, you will serve as a key physician leader for Aetna's digital health and clinical AI strategy - a role that sits at the forefront of how a leading national health plan is deploying artificial intelligence and digital tools to improve access, drive behavior change, and measurably improve outcomes for tens of millions of members.
Medical Director Aetna Duals Center of Excellence CVS Health CorpMedical Director Aetna Duals Center of ExcellenceMO$174,070–$374,920 / yearPosition Summary: The Aetna Duals Center of Excellence (COE) operates Duals Integrated Plans and Medicare ISNP Plans in Ohio, Illinois, Michigan, Virginia, Pennsylvania, and New Jersey offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking for a Medical Director to be part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.
NewMedical Director, Endocrinology ParexelMedical Director, EndocrinologyJefferson City, MORemoteAs a Medical Director, you will provide medical monitoring for assigned projects, function as medical representative on the project team, provide medical consultation as required or requested to client/sponsor or to other Parexel service groups, and assume the role of Senior Technical Lead in selected circumstances. + Review data listings of safety data, including adverse experiences, laboratory data, and vital signs data, to establish the presence or absence of abnormal trends, and if noted, follow up as appropriate with the project team, sponsor, investigator, and FDA.
Associate Medical Director - FT (W2 or 1099) First Source Medical StaffingAssociate Medical Director - FT (W2 or 1099)Saint Louis, MOAre you a Primary Care Physician ready to apply your clinical experience into a leadership career while making a meaningful impact with your patients? . This is a unique opportunity to combine clinical practice with leadership impact in a mission-driven, community health setting.
Medical Director Elevance Health IncMedical DirectorSt. Louis, MOFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Minimum Requirements: Requires MD/DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Regional Associate Medical Director | Physician Leader | - Sign on Bonus- $25,000 GoHealth Urgent Care - UCSF HealthRegional Associate Medical Director | Physician Leader | - Sign on Bonus- $25,000St Louis, MissouriReporting to the Market Medical Director and collaborating closely with operational and clinical leaders, the AMD ensures clinical quality, supports provider engagement and development, drives operational excellence, and aligns care delivery with the strategic goals of GoHealth and Mercy. GoHealth Urgent Care , in partnership with Mercy , one of the nation’s largest and most respected health systems, is seeking an experienced Associate Medical Director (AMD) to join our growing leadership team in the St.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOMO$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Hybrid Regional Medical Director (MD/DO) - Central Missouri (79725) Centurion HealthHybrid Regional Medical Director (MD/DO) - Central Missouri (79725)Boonville, MOThe Regional Site Medical Director will collaborate with Health Services Administrator at the site to ensure efficient and clinically appropriate medical services are provided and will participate in various committees to include Continuous Quality Improvement, Infection Prevention and Control and Pharmacy and Therapeutics as requested. The Regional Site Medical Director also provides direct clinical services for patients and clinical supervision for medical staff of assigned site(s) under the supervision of the Statewide Medical Director.
Hybrid Regional Medical Director (MD/DO) - Southeast, Missouri (79724) Centurion HealthHybrid Regional Medical Director (MD/DO) - Southeast, Missouri (79724)MOThe Regional Site Medical Director will collaborate with Health Services Administrator at the site to ensure efficient and clinically appropriate medical services are provided and will participate in various committees to include Continuous Quality Improvement, Infection Prevention and Control and Pharmacy and Therapeutics as requested. The Regional Site Medical Director also provides direct clinical services for patients and clinical supervision for medical staff of assigned site(s) under the supervision of the Statewide Medical Director.
Medical Director MPO CVS Health CorpMedical Director MPOMO$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Medical Director (MD/DO) - Licking, Missouri (80800) Centurion HealthMedical Director (MD/DO) - Licking, Missouri (80800)MOThe Medical Director collaborates with the Health Services Administrator (HSA) to ensure efficient and clinically appropriate medical services are provided, and participates in various committees to include Continuous Quality Improvement (CQI), Infection Prevention and Control, and Pharmacy and Therapeutics as requested. The Medical Director provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned site under the supervision of the Statewide Medical Director.
Medical Director New SeasonMedical DirectorST. JOSEPH, MOPart timeKeywords: Medical Director, Addiction Medicine Physician, Family Medicine Physician, Internal Medicine Physician, Psychiatrist, Behavioral Health Physician, Substance Use Disorder (SUD), Opioid Treatment Program (OTP), Medication-Assisted Treatment (MAT), Recovery Medicine, Physician Leadership, Medical Director Jobs, Physician Jobs Missouri, Healthcare Leadership, St. Joseph MO Physician Jobs. New Season Treatment Centers is a national leader in addiction treatment and recovery services, helping individuals overcome Opioid Use Disorder (OUD) through Medication-Assisted Treatment (MAT), medical care, and behavioral health services.
Anesthesiology – Medical Director - 1070548 Necnic GroupAnesthesiology – Medical Director - 1070548Farmington, MissouriAlong with clinical duties, the Facility Medical Director's responsibilities include: providing visible and responsible medical leadership for anesthesia services; meeting regularly with hospital administration and other key stakeholders to discuss expectations and improvement initiatives; quality, regulatory compliance, and performance improvement duties. Louis at the edge of the Ozark Mountains, Farmington is surrounded by nine scenic state parks, challenging golf courses, an extreme off-road recreation area, hiking trails, and 15 award-winning vineyards and wineries.
Medical Director MedElite GroupMedical DirectorSpringfield, MissouriInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As the Medical Director, you will play a key role in overseeing the delivery of comprehensive care to patients, ensuring high-quality service, and promoting best practices across the healthcare team.
Veterinarian - Medical Director Veterinary Practice Partners LLCVeterinarian - Medical DirectorManchester, MO$175,000–$258,000 / yearRequirements: Doctor of Veterinary Medicine (DVM) or VMD degree from an AVMA-accredited college Active Missouri veterinary license in good standing 3+ years clinical experience preferred Prior leadership or mentorship experience strongly preferred. Fox Creek Veterinary Hospital is hiring a Medical Director to lead our Manchester location, guiding clinical excellence while providing comprehensive medical, surgical, and dental care to companion animals, including cats and dogs.
Associate Medical Director | Kansas City, MO | Making over $350,000 Optigy GroupAssociate Medical Director | Kansas City, MO | Making over $350,000Kansas City, MISSOURITo support continued growth, our client is seeking high-caliber primary care physicians and clinical leaders who are motivated by purpose, professional development, and the opportunity to make a meaningful impact in the lives of patients and communities. Our client is a physician-led, mission-driven primary care organization dedicated to transforming healthcare for seniors through high-quality, value-based care.
Plan Performance Medical Director- Wisconsin and Missouri Markets Elevance Health IncPlan Performance Medical Director- Wisconsin and Missouri MarketsSt. Louis, MOMinimum Qualifications: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
NewMedical Director - Part-Time/Contract Integrated Psychiatric ConsultantsMedical Director - Part-Time/ContractMissouriOur nationwide network of board-certified psychiatrists, psychiatric nurse practitioners, behavioral health clinicians, licensed social workers, and other healthcare providers deliver high quality care to our partner facilities via on-site and telehealth placements. Overview: Medical Director functions - chair medical executive committee meeting, pharmacy and therapeutics committee meeting, be available for any questions about a policy, or other administrative questions that might come up; be available for any state or accreditation audits.
Full-Time Medical Director Washington County Memorial Hospital SCP HealthFull-Time Medical Director Washington County Memorial HospitalPotosi, MOAs a physician-founded and physician-led organization specializing in emergency, hospital, and critical care medicine, we believe clinicians should focus on what matters mostdelivering exceptional patient care. AboutWashington County Memorial Hospital:Washington County Memorial Hospital is a not-for-profit, critical access facility offering top quality care and personable treatment to the residents in Potosi, MO.
Doniphan, MO: Medical Director and Attending Physician, Part-Time Theoria MedicalDoniphan, MO: Medical Director and Attending Physician, Part-TimeDoniphan, MOTheoria Medical is leading the charge in healthcare innovation and quality of care - offering a unique blend of medical excellence and technological advancement, serving the post-acute sector. We are proud and excited to share that Theoria Medical offers unique Annual Bonus and Longevity Incentive Plans, in addition to its competitive compensation and benefits package: Ask about our sign-on bonus opportunities!
Hospice Medical Director Gentiva Health Services Inc (Inactive)Hospice Medical DirectorSt. Louis, MOWe are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert clinical oversight to our hospice physicians. You will collaborate with interdisciplinary teams, oversee regulatory compliance, and guide quality improvement efforts to enhance patient outcomes.
Columbia, MO: Medical Director and Attending Physician, Part-Time Theoria MedicalColumbia, MO: Medical Director and Attending Physician, Part-TimeColumbia, MOTheoria Medical is leading the charge in healthcare innovation and quality of care - offering a unique blend of medical excellence and technological advancement, serving the post-acute sector. We are proud and excited to share that Theoria Medical offers unique Annual Bonus and Longevity Incentive Plans, in addition to its competitive compensation and benefits package: Ask about our sign-on bonus opportunities!
Associate Medical Director – PRN Hospice Care| Flexible Coverage + Meaningful Patient Impact BJC Medical GroupAssociate Medical Director – PRN Hospice Care| Flexible Coverage + Meaningful Patient ImpactSaint Louis, MOBJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. We provide a multi-disciplinary team of healthcare professionals and volunteers, specially trained in symptom management, pain control, counseling and bereavement services for the dying.
Springfield, IL: Medical Director and Attending Physician, Part-Time Theoria MedicalSpringfield, IL: Medical Director and Attending Physician, Part-TimeSpringfield, MissouriTheoria Medical is leading the charge in healthcare innovation and quality of care - offering a unique blend of medical excellence and technological advancement, serving the post-acute sector. We are proud and excited to share that Theoria Medical offers unique Annual Bonus and Longevity Incentive Plans, in addition to its competitive compensation and benefits package: Ask about our sign-on bonus opportunities!
Hospice Medical Director Gentiva HospiceHospice Medical DirectorJoplin, MissouriFull timeOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.