Facility Operations Assistant Collin County Community CollegeFacility Operations AssistantMckinney, TXPositions in this class typically include talking, hearing, seeing, grasping, standing, walking and repetitive motions, stooping, kneeling, crouching, and reaching, climbing and balancing, plus pushing, pulling and lifting Incumbents may be subjected to moving mechanical parts, odors, dusts, poor ventilation, chemicals, oils, extreme temperatures, inadequate lighting and intense noises. Perform regular building maintenance and repairs in the areas of, but not limited to, painting and drywall, floor and ceiling tiles, doors, locks, closers, minor plumbing and fixtures, partitions, lamp replacement and roof leaks.
NewMedical Practice Assistant - Garland Pediatrics Parkland HospitalMedical Practice Assistant - Garland PediatricsGarland, TXVirtual Care Only: Proactively outreaches patient utilizing motivational interviewing, demonstrating effective and caring communication to develop patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
RN Supervisor - Pediatric Emergency Room Medical City DallasRN Supervisor - Pediatric Emergency RoomDenton, TXAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. As a part of the Medical City network of hospitals, patients are ensured access to leading medical experts and advanced healthcare innovations across the network.
Office Manager Cbre ValuationOffice ManagerDallas, TXCBRE serves clients through four business segments: Advisory (leasing, sales, debt origination, mortgage serving, valuations); Building Operations & Experience (facilities management, property management, flex space & experience); Project Management (program management, project management, cost consulting); Real Estate Investments (investment management, development). CBRE Group, Inc. (NYSE:CBRE), a Fortune 500 and S&P 500 company headquartered in Dallas, is the world's largest commercial real estate services and investment firm (based on 2024 revenue).
Maintenance Supervisor, Manheim Dallas, TX Cox EnterprisesMaintenance Supervisor, Manheim Dallas, TXDallas, TX$67,100–$100,700 / yearCox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars.
Maintenance Supervisor MAC Trailer Enterprises, Inc.Maintenance SupervisorHaslet, TXPart timeMAC Trailer is the nation’s foremost manufacturer of dump, flatbed, and transfer trailers, straight truck bodies, dry bulk pneumatic tanks, and liquid tank trailers. Direct and utilize direct reports ensuring that the plant equipment is operating effectively and is properly maintained to achieve production requirements.
RN Supervisor - Med Surg Urology Medical City DallasRN Supervisor - Med Surg UrologyAddison, TXIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. As a RN Supervisor - Med Surg Urology, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives.
Assistant Manager - Custodial Services Collin CollegeAssistant Manager - Custodial ServicesTXPositions in this class typically include talking, hearing, seeing, grasping, standing, walking and repetitive motions, stooping, kneeling, crouching, and reaching, climbing and balancing, plus pushing, pulling and lifting. Incumbents may be subjected to moving mechanical parts, odors, dusts, poor ventilation, chemicals, oils, extreme temperatures, inadequate lighting and intense noises.
NewLTCR Nursing Facilities Investigator V Texas Health and Human Services CommissionLTCR Nursing Facilities Investigator VPLANO, TX$6,318.95–$7,761.50As part of a collaborative team of public servants, an investigator protects residents' health and safety by conducting on-site inspections and investigations in Texas long-term care facilities (nursing homes, assisted living facilities, and day activities and health services sites) to assess their compliance with state and federal laws and rules. In this front-line field position, a surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility, remedies to correct those deficiencies, and narrative to support regulatory determinations.
Supervisor Facilities Management HCA Healthcare IncSupervisor Facilities ManagementDallas, TXOversees accomplishment of services · Respond to building system casualties and takes immediate action to restore services · Tracks preventive maintenance to ensure Maintenance Mechanics and Senior Maintenance Mechanics accomplish assigned tasks within the month assigned · Assigns tasks and repairs to Maintenance Mechanics and Senior Maintenance Mechanics and verifies that assignments are completed correctly and in a timely manner · Assesses training needs and arranges for needed training · Perform preventative maintenance and repairs as needed. What qualifications you will need: Technical Associates Degree preferred 5 years related experience is required Prior experience in a healthcare setting is required Benefits Medical City Heart & Spine Hospitals, offers a total rewards package that supports the health, life, career and retirement of our colleagues.
Senior Lean Specialist, Advanced Facilities Group J.E. Dunn Construction Group IncSenior Lean Specialist, Advanced Facilities GroupDallas, TXJE Dunn's Advanced Facilities Group (AFG) combines Mission Critical, Advanced Industries, and Industrial & Manufacturing into one high-performing team focused on cutting-edge work to serve innovative clients on large Industrial & Manufacturing, Data Center, and Semiconductor projects. In addition, this position will be responsible for the following: • Training, teaching and coaching a larger variety and/or more complex tools such as Choosing By Advantages, Target Value Design and Integrated Project Delivery support.
Painter II - Facilities Management Texas Woman's UniversityPainter II - Facilities ManagementDenton, TXTWU is situated approximately 30 miles north of the Dallas-Fort Worth Metroplex and is home to approximately 16,433 graduate and undergraduate students across three campuses; Denton, Dallas, and Houston respectively. Under HB 558, enacted by the 76th Texas State Legislature, if you are currently of the age and gender requiring registration with Selective Service, but knowingly and willfully fail to do so, you are ineligible for employment with an agency in any branch of Texas state government.
Journeyman Plumber (26-27 SY) - Facilities Irving Independent School District IncJourneyman Plumber (26-27 SY) - FacilitiesIrving, TXEnvironment: Work outside and inside, on slippery or uneven walking surfaces; frequent exposure to extreme hot and cold temperatures, dust, toxic chemicals and fumes, noise, vibration, and electrical hazards; work around gas lines; work around machinery with moving parts; may work in tight or enclosed spaces; may work alone; regularly work irregular hours; occasional prolonged hours; frequent districtwide travel. Mental Demands/Physical Demands/Environmental Factors: Tools/Equipment Used: Plumbing tools and equipment including pipe bender, propane torch; hand tools; power tools; heavy equipment including forklift, trencher, backhoe; light truck or van.
Maintenance Technician II - Facilities Services - 1 Brazos County CorpMaintenance Technician II - Facilities Services - 1TXEssential Duties: Troubleshoots electrical failures and removes and replaces faulty electrical components; Changes ballasts, tubes, and light bulbs; Performs plumbing work installs and all types of plumbing repair; Assists with basic carpentry work including hanging pictures and plaques; Monitors and maintains electric locks on county buildings; Reads and interprets blueprints and written instructions; And confers with supervisor concerning construction, alteration, maintenance, and repair projects. While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear.
Facilities Coordinator - On-Site Red Oak & Irving Texas CBRE Group IncFacilities Coordinator - On-Site Red Oak & Irving TexasIrving, TXThis job is a part of the Facilities Management functional area which focuses on all aspects of the operations of a set of assets, providing support to the Property Managers regarding all repairs and investment plans. About the Role: As a CBRE Facilities Coordinator, you will work with clients, vendors, and contractors to ensure that facility tasks and work orders are complete.
Custodian - Facilities Services - 7 Brazos County CorpCustodian - Facilities Services - 7TXSafely operate equipment and use cleaning chemicals; use hand tools and other specialized equipment; understand and follow instructions; communicate effectively both orally and in writing and work effectively and cooperatively with co-workers. While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear.
0000005947.BUILDING MECHANIC.FACILITIES Dallas County0000005947.BUILDING MECHANIC.FACILITIESDallas, TXSpecial Requirements/Knowledge, Skills & Abilities: Must have a valid Texas Drivers License, good driving record, maintain a good driving record and remain in compliance with Article II, Subdivision II of Chapter 90 of the Dallas County Code. Ability to withstand prolonged sitting, standing, bending, squatting, twisting, kneeling, stretching, lifting and climbing ladders.
0000005122.BUILDING MECHANIC.FACILITIES Dallas County0000005122.BUILDING MECHANIC.FACILITIESDallas, TXSpecial Requirements/Knowledge, Skills & Abilities: Must have a valid Texas Drivers License, good driving record, maintain a good driving record and remain in compliance with Article II, Subdivision II of Chapter 90 of the Dallas County Code. Ability to withstand prolonged sitting, standing, bending, squatting, twisting, kneeling, stretching, lifting and climbing ladders.
Facility Coding Quality Specialist CorroHealth IncFacility Coding Quality SpecialistTXPerforms complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant. Provides second -level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
NewSupervisor-Direct Pritchard IndustriesSupervisor-DirectMckinney, TexasYou may be responsible for vacuuming, mopping, sweeping floors, trash removal rest room and break room cleaning and other miscellaneous duties to ensure that building and facilities are maintained in a healthy, safe, and sanitary manner. With services from facility maintenance and janitorial to landscaping and snow removal, we enable desired outcomes for our clients through consistent service and outstanding people.
Day Supervisor Pritchard IndustriesDay SupervisorDallas, TexasYou will be responsible for communicating with Management, tenants, day staff team, dispatching, closing work orders, overseeing the daily duties of day staff, provide assistance to day team and other miscellaneous duties to ensure that building and facilities are maintain in a healthy, safe and sanitary manner. Pritchard Industries is a dynamic and innovative provider of comprehensive facility services, dedicated to enhancing the operational efficiency of our client partners in the industries we serve.
Supervisor Food and Nutritional Services HCA Healthcare IncSupervisor Food and Nutritional ServicesDallas, TXWhat qualifications you will need: Associate's Degree in Nutrition and Dietetics or equivalent is preferred.3 years of food service management experience is preferred, particularly in a high volume restaurant, hospital, hotel, or room service environmentRegistered Food Service Manager (RFSM), or Food Safety Manager must be obtained within 1 year of employment start date Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. As a part of the Medical City network of hospitals, patients are ensured access to leading medical experts and advanced healthcare innovations across the network.
Airport Lounge F&B Supervisor Sodexo SAAirport Lounge F&B SupervisorTXYou will provides oversight at the direction of management on-site to coordinate routine work activities of service employees engaged in food operations, including but not limited to fast casual, coffee/counter service, cafeterias, events/banquets, casual dining and cafes. We believe in improving the quality of life for those we serve and contributing to the economic, social, and environmental progress in the communities where we operate.
NewTest Supervisor Maverick PowerTest SupervisorGarland 2, TXThe Testing Supervisor oversees testing technicians, ensures safe execution of high-voltage testing procedures, drives continuous improvement in testing processes, and partners closely with Engineering, Production, and Quality to resolve technical issues and improve product performance. Electrical & Functional Testing Oversight Oversee functional, electrical, and performance testing of products such as switchgear, panelboards, control panels, PDUs, transformers, or other power distribution equipment.
Lead Supervisor I Tapestry, Inc.Lead Supervisor IGrapevine, TX$16–$23.75 / hourBuilding Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team. Courage: Doesn't hold back anything that needs to be said; provides current, direct, complete, and "actionable" positive and corrective feedback to others; lets people know where they stand; faces up to people problems on any person or situation (not including direct reports) quickly and directly; is not afraid to take negative action when necessary.
Assembly Supervisor OSI Systems IncAssembly SupervisorRichardson, TX$80,000–$88,000 / yearhas three operating divisions: (a) Security, providing security and inspection systems, turnkey security screening solutions and related services; (b) Healthcare, providing patient monitoring, diagnostic cardiology and anesthesia systems; and (c) Optoelectronics and Manufacturing, providing specialized electronic components and electronic manufacturing services for original equipment manufacturers with applications in the defense, aerospace, medical and industrial markets, among others. If any person or entity, including a recruiter or agency, submits any information, including any resume or information regarding any potential candidate, without a signed agreement in place with OSI, OSI explicitly reserves the right to use such information, and pursue and/or hire such candidates, without any financial obligation to the person, recruiter or agency.
NewSupervisor-Direct Pritchard Industries IncSupervisor-DirectMckinney, TXYou may be responsible for vacuuming, mopping, sweeping floors, trash removal rest room and break room cleaning and other miscellaneous duties to ensure that building and facilities are maintained in a healthy, safe, and sanitary manner. With services from facility maintenance and janitorial to landscaping and snow removal, we enable desired outcomes for our clients through consistent service and outstanding people.
Day Supervisor Pritchard Industries IncDay SupervisorDallas, TXYou will be responsible for communicating with Management, tenants, day staff team, dispatching, closing work orders, overseeing the daily duties of day staff, provide assistance to day team and other miscellaneous duties to ensure that building and facilities are maintain in a healthy, safe and sanitary manner. Pritchard Industries is a dynamic and innovative provider of comprehensive facility services, dedicated to enhancing the operational efficiency of our client partners in the industries we serve.
Maintenance Supervisor - Aesthetics - 2nd shift Pyramid Hotel GroupMaintenance Supervisor - Aesthetics - 2nd shiftWestlake, TXWhether you are just starting out in the hospitality industry or are a seasoned professional, Pyramid Global Hospitality offers a supportive and collaborative work environment that encourages growth and fosters success, in over 230 properties worldwide. What you will have an opportunity to do: BASIC FUNCTION: The Facilities Aesthetic Supervisor is a hands-on tech that will complete service work and repairs, as well as is responsible for overseeing the workload of the maintenance techs.
Maintenance Mechanic Encompass Health Rehabilitation Hospital of ProsperMaintenance MechanicProsper, TXYour role spans executing preventative maintenance, repairs, and tasks across hospital systems, including equipment, utilities, plumbing, electrical, HVAC, as well as light construction, painting, groundskeeping, security, and floor care. Must demonstrate the ability to tolerate frequent position changes such as twisting, stooping, reaching, squatting, kneeling, pushing/pulling, and bending positions for complete shift.
Executive Sous Chef (Assistant Manager Food Operations) The Walt Disney CompanyExecutive Sous Chef (Assistant Manager Food Operations)Austin, TXFacilitate weekly meetings with Galley leadership; discuss operational issues and updates of new products. + Be willing and able to uphold the general safety management responsibilities specified in the Safety Management System in areas and operations under their control.
Assistant Project Manager - Special Systems Alterman Management Group, IncAssistant Project Manager - Special SystemsAustin, TXPart time3-5 years of experience in a field supervisory position, a minimum of 5 years working and studying in the Teledata construction industry and a good working knowledge of Estimating and Field Engineering is preferred. Work with the lead PM to identify "critical path activities" of the project, then assist in preparing documentation required to accomplish these activities and submit to lead project manager for final approval.
Assistant Manager CicisAssistant ManagerAustin, TexasAt Cicis, we open our doors everyday with the purpose of making each guest’s day by delivering remarkable service and high-quality pizza. It was so successful that a few years later, they opened a second location which was not only take-out, but an unlimited pizza buffet concept as well.
New2026/27 Administrative Assistant, Student Support Services Educational Service Center Region 132026/27 Administrative Assistant, Student Support ServicesAustin, TXIf hired, the State Board for Educator Certification will require all first time applicants for an initial credential to be fingerprinted as part of a national criminal background check. id='p10759_2127'>2026/27 Administrative Assistant, Student Support Services JobID: 10759.
Assistant Management Domino's Pizza IncAssistant ManagementTXYou will also help us to control the costs of our labor by scheduling breaks, judging when to send home team members, and working with our scheduler to control unnecessary wastes. You will help us to control our food costs by minimizing mistakes made in the kitchen, ensuring scales are used, and perform accurate inventory counts.
NewAssistant General Manager Domino's Pizza IncAssistant General ManagerTX$15–$18 / hourJoin our growing work family and company that believes in team work, doing the right thing, and treating each other like we would like to be treated. Eager to progress their leadership skills up to the level required to be a General Manager.
\n Dental Front Office Assistant\n Heartland Dental Care\n Dental Front Office Assistant\nSchertz, TXMore about the roleGreet and welcome patients as they enter the officexa0to create a great first impression of our teamManagexa0front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companiesUtilize Dentrix for patient scheduling and recordsSchedule and confirm appointments for multiple providers in the officeFile patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and process accounts receivablesReview treatment plan fees and payment options with patientsPartner with the providers and team to implement Heartland Dental systems to optimize office potentialxa0What You'll Gainxa0Competitive benefits including health insurance, retirement savings plans, six paidxa0holidays,xa0and PTO (paid time off)Front loaded educationxa0and training, providing youxa0thexa0opportunity to develop to your full potentialOpportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potentialAccess to on-demand Daily Pay Minimum Qualificationsxa0Experience working in a fast-paced and customer-centric environmentExcellent communication and organizational skillsThe position will have access to minimum PHI necessary for performing job-related functions; regular HIPAA training, aligning with the specific role and responsibilities, will be required; and the individual will need to protect PHI and maintain data safeguards.xa0Preferred Our ideal candidate would be comfortable working with Dentrix, verifying insurance, submitting claims, presenting treatment, and overall a positive asset to our team!xa0Supporting our front office as a Business Assistant, you'll be surrounded by camaraderie and partnership - where patients come first, and continuous learning is encouraged!xa0 Hard-working and motivated, the successful candidate will bring a passion for helping our team provide the best patient care to the communities they serve.
Assistant Vice President, Mechanical Engineer (Mission Critical/Data Centers) WSP Global IncAssistant Vice President, Mechanical Engineer (Mission Critical/Data Centers)Austin, TXOur mechanical, electrical, plumbing, fire protection, controls, telecommunications, and security building system designs keep many of the worlds top Fortune 100 financial, technology, enterprise, hyperscale, and colocation companies up and running 24 hours a day, 365 days a year. As an Assistant Vice President, Mechanical Engineer with us, you will design complex cooling and HVAC systems including air distribution systems, chiller plants, and alternative energy solutions while leading projects and a team of mechanical engineers.
Administrative Assistant EMCOR Group IncAdministrative AssistantManchaca, TXAs a leading provider of mechanical and electrical construction, facilities services, and energy infrastructure, we offer employees a competitive salary and benefits package and we are always looking for individuals with the talent and skills required to contribute to our continued growth and success. Must have the demonstrated ability to effectively communicate in English, cooperate, and collaborate with multiple levels of customers, employees, unions, government agencies, vendors and suppliers, and other contractor organizations.
Elementary Assistant Principal New Braunfels Independent School DistrictElementary Assistant PrincipalNew Braunfels, TXHelp plan daily school activities by participating in the development of class schedules, teacher assignments, and extracurricular activity schedules. Encourage and support development of innovative instructional programs, helping teachers pilot such efforts when appropriate.
Administrative Assistant The Porter CompanyAdministrative AssistantManchaca, TexasFull timeMust have the demonstrated ability to effectively communicate in English, cooperate, and collaborate with multiple levels of customers, employees, unions, government agencies, vendors and suppliers, and other contractor organizations. The Administrative Assistant helps ensure the office operates efficiently while delivering excellent customer service to employees, applicants, vendors, and visitors.
NewCustomer Success Manager - Moveworks Moveworks IncCustomer Success Manager - MoveworksAustin, TX$89,000–$133,000 / yearFor positions requiring access to controlled technology subject to export control regulations, including the U.S. Export Administration Regulations (EAR), ServiceNow may be required to obtain export control approval from government authorities for certain individuals. Moveworks is trusted by over 5.5 million employees at more than 350 of the world's largest companies, including 10% of the Fortune 500, to automate everyday tasks and streamline business operations.
Legal Assistant Hembree Bell Law FirmLegal AssistantAustin, TexasThis role is a dynamic mix of high-level legal support and firm operations: Case & Document Management: Draft, type, and file legal documents and correspondence; maintain accurate, organized filing systems. Office Contribution: Complete errands, attend trials as requested, and help maintain office areas (kitchen, conference rooms) to improve overall team and client experience.
Veterinary Assistant Animal Healthcare of TexasVeterinary AssistantAustin, TexasManagement reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development). As a member of the VCA team, you will support the Technician and Doctor teams by creating a positive, low-stress atmosphere for our clients and patients.
Commercial Construction Assistant Project Manager - Mission Critical HITTCommercial Construction Assistant Project Manager - Mission CriticalAustin, TXGather data, interpret it into meaningful information, and relay that information through clear, concise communication strategies; ability to see how pieces and processes fit into and affect the bigger picture/business model. Job Description: An Assistant Project Manager (APM) obtains, evaluates, coordinates and distributes the information and authorizations necessary to construct projects on time, within budget and to the quality specified.
Medical Assistant (OBGYN) External BrandMedical Assistant (OBGYN)Austin, TexasCNA/EMT/PCT(or other comparable experience) providing direct patient care, beyond Activities of Daily Living, including experience taking manual vitals and giving medications and/or injections, or. Current AHA approved Basic Life Support (BLS) Healthcare Provider Cardiopulmonary Resuscitation (CPR) course completion card or within 60 days of hire required.
Potential Secondary Assistant Principal - Dragon Campus New Braunfels Independent School DistrictPotential Secondary Assistant Principal - Dragon CampusNew Braunfels, TXHelp plan daily school activities by participating in the development of class schedules, teacher assignments, and extracurricular activity schedules. Encourage and support development of innovative instructional programs, helping teachers pilot such efforts when appropriate.
Senior Assistant II - Account Management/Broking Marsh McLennanSenior Assistant II - Account Management/BrokingAustin, TexasMarsh Risk is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law.
Assistant Store Manager SafeliteAssistant Store ManagerAustin, TXMotivate and lead activities of associates, ensuring the highest possible productivity and world class customer service; Provide appropriate associate cross-training for operational stability. This professional leads operations for an individual retail location, including assigned associates, cash management, inventory control, loss prevention, safety, store appearance and more.
Travel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Luling, TX Fusion Medical StaffingTravel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Luling, TXLuling, TX$1,169–$1,408Summary: The Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients' mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.