NewPart-time Payroll Specialist Vaco LLCPart-time Payroll SpecialistDetroit, MI$30–$40Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewPart-Time Payroll Specialist Vaco LLCPart-Time Payroll SpecialistDetroit, MI$30–$40Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewLead Receptionist/ Accounts Payable Pomeroy LivingLead Receptionist/ Accounts PayableNorthville, MIIf you are a friendly, organized, and detail-oriented individual with a passion for providing excellent customer service and have an interest in learning about accounts payable, we encourage you to apply! Pomeroy Living is seeking a friendly and enthusiastic Lead Receptionist/Accounts Payable Specialist to join our team.
NewMedical Receptionist - Canton Office Apex SkinMedical Receptionist - Canton OfficeCanton, MichiganThe ideal candidate demonstrates strong communication skills, attention to detail, and the ability to thrive in a fast-paced, team-oriented environment while maintaining professionalism and compassion in every patient interaction. We believe in a respectful and supportive workplace where employees feel valued, trusted, and empowered to contribute to exceptional patient experiences and meaningful clinical care.
Medical Receptionist - Patient Experience Specialist Body Contour Centers, LLC (Sono Bella)Medical Receptionist - Patient Experience SpecialistDetroit, MI$15.75–$18.90 / hourSono Bello is America's top cosmetic surgery specialist, with 185+ board-certified surgeons who have performed over 300,000 laser liposuction and body contouring procedures. A career at Sono Bello means being part of a dynamic and high-energy work environment where every team member can make a difference.
NewFront Office - Business Services Specialist II Cox CommunicationsFront Office - Business Services Specialist IIFlat Rock, MichiganHere’s a peek at what you’ll get to do when you suit up as a Manheim Account Administrator: You’ll develop and manage relationships with internal and external business partners, and you’ll assist with retail operations from start to finish, from communicating with suppliers and sublet vendors for quotes and status updates right up to notifying customers of the latest news on their vehicles. Manheim, part of the Cox Automotive family of businesses, is looking for a Retail Recon Administrator II, a powerful admin advocate who will use their powers for good – organizing, managing, and supportwearsing the daily operations of the world’s largest wholesale auto marketplace.
Business Office & HR Specialist Life Care Companies LLCBusiness Office & HR SpecialistFarmington Hills, MI$23–$25 / hourThis role supports both Business Office operations and Human Resources functions, while also supporting Concierge operations as needed, playing a key role in ensuring a positive experience for residents and employees alike. An employment history & physical exam, tuberculin skin test or chest X-ray, drug screen, criminal background screening, employment references from previous employers, and verification with the OIG list of excluded individuals/entities to confirm your eligibility to work in health care is required.
NewFront Office - Business Services Specialist II Cox Enterprises IncFront Office - Business Services Specialist IIMI$20–$30 / hourHere's a peek at what you'll get to do when you suit up as a Manheim Account Administrator: You'll develop and manage relationships with internal and external business partners, and you'll assist with retail operations from start to finish, from communicating with suppliers and sublet vendors for quotes and status updates right up to notifying customers of the latest news on their vehicles. Manheim, part of the Cox Automotive family of businesses, is looking for a Retail Recon Administrator II, a powerful admin advocate who will use their powers for good - organizing, managing, and supportwearsing the daily operations of the world's largest wholesale auto marketplace.
NewPediatric Nutrition Office Sales Specialist - Southeast Detroit AbbottPediatric Nutrition Office Sales Specialist - Southeast DetroitDetroit, MichiganContinuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment, Keyboard use (greater or equal to 50% of the workday) . Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines.
NewPediatric Nutrition Office Sales Specialist - Southeast Detroit Abbott LaboratoriesPediatric Nutrition Office Sales Specialist - Southeast DetroitDetroit, MI$61,300–$122,700 / yearOur portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our nutrition business develops science-based nutrition products for people of all ages, from helping babies and children grow, to keeping adult bodies strong and active.
NewMedical Receptionist - Dermatology Office MI SKIN CENTERMedical Receptionist - Dermatology OfficeNorthville, Michigan$14–$21If you naturally remember people's names, enjoy making others feel comfortable, thrive in busy environments, and love solving problems with a smile, we'd love to meet you. Every interaction—from the first phone call to check-in and checkout—should leave patients feeling welcomed, respected, and genuinely cared for.
Plasma Center Medical Support Specialist RN Biolife Plasma ServicesPlasma Center Medical Support Specialist RNWarren, MI$35.20–$48.40 / hourThe actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
Referral Specialist - Clarkston Medical Group McLaren Health Care CorpReferral Specialist - Clarkston Medical GroupClarkston, MIPresents necessary medical information such as, history, diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services. Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred specialists.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistLivonia, Michigan$16–$22 / hourFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
Medical Coding & Price Transparency Specialist Henry Ford HospitalMedical Coding & Price Transparency SpecialistTroy, MIIn this highly collaborative and patient-focused role, you will provide accurate pricing estimates for a wide range of services, helping patients navigate insurance coverage, self-pay options, and financial responsibilities with confidence and clarity. You'll work closely with patients, clinics, and internal teams while utilizing advanced healthcare systems and tools to support a seamless patient financial experience.
Senior Medical Receptionist -Seton Internal Medicine Trinity HealthSenior Medical Receptionist -Seton Internal MedicineTroy, MichiganThe Senior Registration Associate is responsible for performing and overall coordination of clerical duties related to the efficient and service oriented operation of a medical practice. The Senior Registration Associate will perform all job functions in a courteous and professional manner consistent with the mission and core values of St Peter’s Health Partners Medical Associates.
Medical Receptionist/Medical Assistant CENTER FOR PREVENTIVE MEDICINE PCMedical Receptionist/Medical AssistantGrosse Pointe, MIThis position is ideal for someone who has strong front-desk medical office experience, enjoys helping patients, and can work efficiently in a fast-paced primary care setting. A team player who understands the importance of excellent patient service and accurate front-desk work.
Front Office Coordinator Float Rochester, MI Athletico LtdFront Office Coordinator Float Rochester, MIMIPhysical Demands: Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e. while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding. Position Summary: The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance processes, delivering a seamless and exceptional front-office experience while maintaining compliance, safeguarding data integrity, and supporting revenue cycle performance.
Front Office Coordinator Sterling Heights, MI Athletico LtdFront Office Coordinator Sterling Heights, MISterling Heights, MIPhysical Demands: Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e. while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding. Position Summary: The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance processes, delivering a seamless and exceptional front-office experience while maintaining compliance, safeguarding data integrity, and supporting revenue cycle performance.
Front Office Coordinator Redford, MI Athletico LtdFront Office Coordinator Redford, MIRedford, MIPhysical Demands: Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e. while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding. Position Summary: The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance processes, delivering a seamless and exceptional front-office experience while maintaining compliance, safeguarding data integrity, and supporting revenue cycle performance.
City Clerk's Office Supervisor City of SouthfieldCity Clerk's Office SupervisorSouthfield, MI$56,107–$84,076 / yearThe city provides term life insurance benefits with accidental death and dismemberment for qualified employees as soon as possible, through the proper insurance carrier in accordance with the following schedule: AFSCME 329: 0-30 months employment $30,000 life and ADD, after 30 months of employment $50,000 term life, accidental death and dismemberment coverage. At least three (3) years of increasingly responsible experience in Clerk department or municipal government, resulting in expertise in staff supervision and organization skills; the state and local legislative process; current election equipment, procedures, and laws; the ability to recognize, analyze, and address complex and/or sensitive matters related to all aspects of municipal operations.
NewFront Office Coordinator Float Athletico Physical TherapyFront Office Coordinator FloatRochester, MichiganFull timeAbility to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e. while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding. The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance processes, delivering a seamless and exceptional front-office experience while maintaining compliance, safeguarding data integrity, and supporting revenue cycle performance.
Front Office Coordinator Athletico Physical TherapyFront Office CoordinatorRedford, MichiganFull timeAbility to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e. while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding. The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance processes, delivering a seamless and exceptional front-office experience while maintaining compliance, safeguarding data integrity, and supporting revenue cycle performance.
NewIHAMI_Medical Receptionist Trinity HealthIHAMI_Medical ReceptionistLivonia, MIIn addition to the Medical Receptionist I Responsibilities above, those Receptionists working in practices with Refugee Patient Populations will also perform the following functions: Provides intake for refugee population, prepares charts, schedules appointments - ensuring they are available on supervisor and provider schedules. Assists in entering demographic data on cases new to the practice into intake database, prepares monthly periodic reports of intake service requests/actions, and extracts and analyzes data related to impact of intake processes on patient care, customer satisfaction and related process and outcome variables.
NewIHAMI_Medical Receptionist I_3010 Trinity HealthIHAMI_Medical Receptionist I_3010Livonia, MIIn addition to the Medical Receptionist I Responsibilities above, those Receptionists working in practices with Refugee Patient Populations will also perform the following functions: Provides intake for refugee population, prepares charts, schedules appointments - ensuring they are available on supervisor and provider schedules. Assists in entering demographic data on cases new to the practice into intake database, prepares monthly periodic reports of intake service requests/actions, and extracts and analyzes data related to impact of intake processes on patient care, customer satisfaction and related process and outcome variables.
NewContingent Medical Receptionist I Trinity HealthContingent Medical Receptionist IFarmington Hills, MichiganAssists in entering demographic data on cases new to the practice into intake database, prepares monthly-periodic reports of intake service requests/actions, and extracts and analyzes data related to impact of intake processes on patient care, customer satisfaction and related process and outcome variables. For non-English speaking patients, coordinates translation services to be provided only by qualified medical interpreters for high risk communication, including medical information, advice and patient plans from providers and clinical staff.
NewMedical Receptionist I Trinity HealthMedical Receptionist IYpsilanti, MIAssists in entering demographic data on cases new to the practice into intake database, prepares monthly-periodic reports of intake service requests/actions, and extracts and analyzes data related to impact of intake processes on patient care, customer satisfaction and related process and outcome variables. For non-English speaking patients, coordinates translation services to be provided only by qualified medical interpreters for high risk communication, including medical information, advice and patient plans from providers and clinical staff.
NewMedical Receptionist Total Extended Care ServicesMedical ReceptionistLivonia, MIAs the first point of contact for patients and visitors, the Medical Receptionist plays a vital role in creating a positive patient experience while ensuring efficient front-office operations. The ideal candidate will possess excellent communication skills, strong attention to detail, and the ability to manage multiple tasks in a fast-paced medical environment.
Authorizations Specialist RadX Inc.Authorizations SpecialistWarren, MIFull timeThis onsite role offers you a chance to directly impact healthcare outcomes by ensuring timely authorizations, allowing you to be part of a process that enhances patient care. First and foremost, strongcommunication abilities will enable you to effectively liaise with healthcare providers, patients, and insurance representatives to navigate the authorization process.
NewBilingual Medical Receptionist COVENANT COMMUNITY CARE, INC.Bilingual Medical ReceptionistDetroit, MIRegisters patients via the existing electronic medical records or computer systems according to the initial and ongoing training and maintains Competence in computer skills needed for the performance of all job duties including collecting and documenting demographic and financial information, obtaining all required forms, consents and signatures. Professionalism ‐ appearance and attitude are appropriate to duties, friendly, not joking or having personal conversations in front of patients‐unless they are included; protecting patient privacy, no cell phone/social media use on duty, knowledge of where personal matters can be conducted.
Medical Lead Veterinarian Southern Veterinary Partners LLCMedical Lead VeterinarianFerndale, MITeammates here benefit from established educational programs and mentorship opportunities that help you achieve specific career goals, such as becoming a credentialed technician or moving into a leadership role. You will be responsible for mentoring and developing your associate veterinarians, partnering with your Practice Manager to build a healthy and engaged team, and driving the continuous improvement of patient care and client service.
NewPrior Authorization Specialist KYYBA, IncPrior Authorization SpecialistDetroit, MIFounded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. Support major health care payer providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations.
Clinical Documentation Specialist Audit Coordinator (Remote) Trinity HealthClinical Documentation Specialist Audit Coordinator (Remote)Livonia, MIRemote$41.43–$62.15 / hourDemonstrates understanding of and facilitates appropriate clinical documentation, to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record. Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients.
Medical Imaging Field Engineer 3 - Detroit, MI Varian Medical Systems IncMedical Imaging Field Engineer 3 - Detroit, MIDetroit, MI$67,550–$92,884 / yearIt is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations.". Physical Requirements: Lifting 50 lbs regularly [floor to above waist/head], and often over 50 lbs (floor to above waist/head), walking, ladder/stepstool climbing, bending, twisting, sitting work, squatting work, standing work, high-reach, fine grasping manipulation, good vision, and ability to work alone.
FOC Case Specialist Supervisor Oakland CountyFOC Case Specialist SupervisorPontiac, MI$58,086–$77,824 / yearResponds to telephone calls from the public, private attorneys, judge's staff, employers, and other agencies to schedule appointments with the attorney, and answer both general and specific inquiries about show cause notices, support, medical, custody, visitation, and other Friend of the Court issues. Meets with the public to respond to questions pertaining to show cause hearings, credit orders, income withholding orders and other Friend of the Court policies and procedures by providing information obtained from the client's case file and instructions from Referees.
Part time Medical Billing and Coding Theory Instructor OR Lab/Clinical Instructor Washtenaw Community CollegePart time Medical Billing and Coding Theory Instructor OR Lab/Clinical InstructorMI$40.83–$42.51 / hourEarned bachelor's degree from a regionally accredited institution in a health-related field with Certified Medical Assistant credentials or bachelor's degree in a healthrelated field, demonstrated strong command of ICD-10, CPT and HCPCS software required. Instruction Position Description: Washtenaw Community College (WCC) is seeking Part time Medical Billing and Coding Professional Instructors and Clinical Instructors (Classified Faculty) to teach/assist in the lab or clinical setting for Medical Billing and Coding credit courses.
NewPatient Visit Specialist I Trinity HealthPatient Visit Specialist IYpsilanti, MIBaseline ECHOs with Michigan Heart before, during and after treatment; All Radiology testing and IR testing (CTs, MRIs, PET scans, paracentesis, thoracentesis, CT guided biopsies, etc.); Bone marrow biopsies with Special Hematology and Infusion Center; and Chemo and direct admits with Providers. Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, Providers, patients, family members, vendors, outside customers and couriers.
Senior Licensing Specialist United Wholesale MortgageSenior Licensing SpecialistPontiac, MIFree membership to our large, state-of-the-art fitness center, including exercise classes such as yoga and Zumba, various sports leagues and a full-size basketball court . This individual will be responsible for researching state-specific licensing and NMLS requirements in order to obtain, maintain, and renew various mortgage lender and/or consumer credit licenses.
Mortgage Compliance Licensing Specialist United Wholesale MortgageMortgage Compliance Licensing SpecialistPontiac, MIFree membership to our large, state-of-the-art fitness center, including exercise classes such as yoga and Zumba, various sports leagues and a full-size basketball court . This individual will be responsible for researching state-specific licensing and NMLS requirements in order to obtain, maintain, and renew various mortgage lender and/or consumer credit licenses.
Medical Receptionist VenteonMedical ReceptionistOak Park, MIIf you are a high performer and would like to work for an equally high performing company and you think the above opportunity is appropriate for you, we invite you to apply to this job and email your resume to rrice@hrsus.com. At Harvard Resource Solutions, our talent acquisition team is proud to provide our clients with the most qualified Administrative & Clerical talent in the industry today.
Quality Specialist Nesco Resource, LLCQuality SpecialistLivonia, MI$21–$24 / hourKnowledge of basic quality tools such as: 7D, 8D, 5 Whys, Pareto Charts, FMEAs, Control Plans, Process Flow Diagrams, Tree Diagrams, Cause and Effect Diagrams (Fishbone), Control Charts, Check Sheets and Scatter Diagrams. " Assist in performing incoming, in-process and end-of-line inspection/testing of products including the utilization of basic inspection tools such as micrometer, calipers, and height gauges.
PRIORITY 1: B50 - Quality Specialist KYYBA, IncPRIORITY 1: B50 - Quality SpecialistLivonia, MIFounded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. Knowledge of basic quality tools such as: 7D, 8D, 5 Whys, Pareto Charts, FMEAs, Control Plans, Process Flow Diagrams, Tree Diagrams, Cause and Effect Diagrams (Fishbone), Control Charts, Check Sheets and Scatter Diagrams.
Clinical Specialist Opportunities for National Sales Network Career Event - Aug. 12-14, Washington DC Medtronic PlcClinical Specialist Opportunities for National Sales Network Career Event - Aug. 12-14, Washington DCMIThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). Peripheral & Endovenous: Peripheral and Superficial Venous Interventions (SVI) therapies are a critical part of the Medtronic vascular portfolio, treating patients with a broad range of conditions, including Peripheral and Carotid Disease, End Stage Renal Disease, Peripheral Embolization, and Superficial and Deep Venous Disease.
Patient Engagement Specialist I COVENANT COMMUNITY CARE, INC.Patient Engagement Specialist IDetroit, MIThe Patient Engagement Specialist I utilizes established workflows, available resources, and organizational knowledge to assist patients and resolve concerns whenever possible while supporting Covenant Community Care''s commitment to quality care, patient access, and exceptional customer service. Working under the direction of the Patient Engagement Supervisor, the Patient Engagement Specialist I serves as a primary point of contact for incoming and outgoing patient communications, appointment scheduling, medication refill requests, patient outreach activities, and message routing.
Medical Assitant ChenMed LLCMedical AssitantDetroit, MI$17–$24.26 / hourAbility to effectively collaborate and partner with team members, including physicians and other clinicians, market leaders, center managers, nurses, case managers, front desk staff, center managers, and market leaders. The Care Promoter 1, Early Embrace is an integral member of a Physician-lead Care Team that is focused on providing excellent and comprehensive primary care for a specific population of patients.
Medical Assistant Float ChenMed LLCMedical Assistant FloatEastpointe, MI$17–$24.26 / hourProficient skills in Microsoft Office Suite products including Word, PowerPoint, Outlook and Excel plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software. The Care Promoter1, Float supports our Physician-lead Care Teams that are focused on providing excellent and comprehensive primary care for a specific population of patients.
Physical Therapy Support Specialist Concentra Inc.Physical Therapy Support SpecialistSterling Heights, MIResponsible for daily therapy supply inventory management, wiping down treatment tables and equipment, washing/folding therapy linens, documenting equipment daily logs, performing Human Performance Evaluations (HPE's), and rooming patients for recheck appointments. The PTSS is responsible for therapy referral management, patient scheduling, assisting with patient registration and check-out, supply ordering, maintaining cleanliness of the therapy department, and may assist with some medical back office duties as assigned.
NewFront Desk Medical Receptionist Reproductive Medicine AssociatFront Desk Medical ReceptionistTroy, MI$22–$23 / hourResponsibilities: The primary function of this position is patient check in & out, over the counter collection, insurance verification, answering & routing phone calls, patient scheduling, data entry. For seventeen years our physicians, nurses, and staff have worked together toward the common goal of helping our patients become parents.
Youth Peer Support Specialist CNS Healthcare CareersYouth Peer Support SpecialistDetroit, MichiganCNS provides comprehensive integrated health services in partnership with several community organizations, and uses a patient-centered approach to identify, support, and promote the overall health of children, adolescents, adults, and older adults. Facilitates wellness groups including WRAP, WHAM, Smoking Cessation, among others, and support individuals in those groups in gaining access to community programs and services as they are indicated, especially physical health care and dental services.
NewBed Placement Specialist Trinity HealthBed Placement SpecialistPontiac, MIHighly effective verbal, written and interpersonal communication skills necessary in order to effectively interact with physicians, physician office staff, patients, families and various staff when processing patient bed assignments and transfers. 5 Performs on-line computer data entry, (i.e., admissions, out-patient rollovers, in-house transfers, out-patient type changes, reinstatement of patients, physician changes, hospital service changes.