Director, Events Technology & Data Autodesk IncDirector, Events Technology & DataNVRemote$156,200–$252,670 / yearThe Director, Event Technology & Data partners closely with Events & Experiences, IT, Security, Marketing Operations, Data, Legal, Procurement, Product, Finance, and executive leadership to align investments, mitigate risk, govern platforms, and evolve Autodesk's event technology and data maturity. • Own Autodesk's enterprise event technology architecture spanning registration and access systems, attendee experience platforms, digital and hybrid delivery infrastructure, CRM and MarTech integrations, analytics, identity, and security.
Remote National Medical Director Centene Corporation GroupRemote National Medical DirectorNVRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
National Account Sales Director Plug Power IncNational Account Sales DirectorRemote US Nevada, NVRemote$137,500–$220,000 / yearUtilize a variety of tools and resources in working towards securing purchase orders for the organization including: fuel-cell system trials at prospective customer sites, providing tours of existing customer sites for prospective customers, coordinating meetings with stakeholders to discuss Plug Power's value statement, sharing existing customer testimonials and examples of ROI, and more. The National Account Sales Director engages directly with prospective customers in order to communicate the significant value statement for Plug Power system technology and drive revenue growth for the organization by cultivating business relationships.
Director National Accounts - FMS Ryder System IncDirector National Accounts - FMSCarson City, NVCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
National Sales Director ImCheck Therapeutics SASNational Sales DirectorNV$166,000–$245,000 / yearThe NSD will also provide clear direction, motivate the field team, build a healthy competitive environment among commercial field representatives, drive innovation & best practice sharing, and drive pragmatism with the goal to enhance our impact among appropriate customers and patients served. Lead a team of Regional Business Directors to implement sales force productivity initiatives including improving and evolving sales force competencies, design and execution of reward systems, sales force deployment strategies, customer relationship management, and talent development.
National Sales Director Ipsen SANational Sales DirectorNV$166,000–$245,000 / yearThe NSD will also provide clear direction, motivate the field team, build a healthy competitive environment among commercial field representatives, drive innovation & best practice sharing, and drive pragmatism with the goal to enhance our impact among appropriate customers and patients served. Lead a team of Regional Business Directors to implement sales force productivity initiatives including improving and evolving sales force competencies, design and execution of reward systems, sales force deployment strategies, customer relationship management, and talent development.
Director, Business Development - Hospitality (West) Remote US Foods Holding CorpDirector, Business Development - Hospitality (West) RemoteNVRemote$115,000–$185,000 / yearThe Director, Business Development Hospitality is responsible for identifying, pursuing, and closing new business opportunities within the Hospitality segment, with a specific focus on full-service hotels and resorts, casinos (excluding Las Vegas and Atlantic City), and golf/country clubs. This role is a pure new-business hunter position with regional scope (Southeast, Northeast, Central and West) accountable for developing and executing growth strategies that expand US Foods presence and reputation as a preferred partner within these hospitality verticals.
Automotive Area Director - Reno, NV OnSite Solutions LLCAutomotive Area Director - Reno, NVReno, NVFull timeAbout Us: OnSite Dealer Solutions is a complete automotive dealership services provider of quality solutions for Sales, Finance, Service and Body Shop departments. This role is responsible for ensuring operational excellence, driving profitability, and supporting management teams across assigned locations.
Director, Game Operations, Scripps Sports - Remote The E. W. Scripps CoDirector, Game Operations, Scripps Sports - RemoteNVRemoteScripps reaches households across the U.S. with national news outlet Scripps News and popular entertainment brands ION, ION Plus, ION Mystery, Bounce, Grit and Laff. As one of the nation's largest local TV broadcasters, Scripps serves communities with quality, objective local journalism and operates a portfolio of more than 60 stations in 40+ markets.
Director - Performance Improvement University Health Services IncDirector - Performance ImprovementRENO, NVOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Job Summary: The Director of Performance Improvement will take responsibility and ownership of the Quality Improvement Program and will provide leadership, implementation and oversight of the comprehensive duties such as managing the Star Rating Program, HEDIS, CAHPS, HOS, and other quality initiatives.
Director, International Sales and Export Operations Assa Abloy ABDirector, International Sales and Export OperationsNV$130,000–$150,000 / yearASSA ABLOY Opening Solutions Americas Commercial Segment is seeking an experienced and business-minded leader to support international sales, export operations, distributor relationships, and market development for ANSI solutions across global markets. Reporting to the Regional Vice President, this role will help drive export market penetration, ensure compliance with international trade requirements, and collaborate with internal and external partners to deliver excellent customer experiences from demand generation through shipment and after-sales support.
Student Worker- ASUN Director of Sustainability University of Nevada RenoStudent Worker- ASUN Director of SustainabilityReno, NVTo present a new appointment to the Senate of the Associated Students within the following two weeks of said committee or Senate meeting if an executive appointment is reported unfavorably by the Senate Committee on Oversight or if an appointee is not passed by the Senate, or in the event that the President is unable to find a qualified candidate within those two weeks, the President must present to the Committee on Oversight and explain the circumstances. Today, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students' cognitive growth and academic achievement - all while remaining one of the best values in American higher education.
Student Worker - Assistant Director, ASUN Legal Services University of Nevada RenoStudent Worker - Assistant Director, ASUN Legal ServicesReno, NevadaToday, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students’ cognitive growth and academic achievement – all while remaining one of the best values in American higher education. Providing timely intake interviews for student seeking assistance; Determining whether a meeting with the staff attorney would be of assistance; Determining whether a referral to a campus administrator/faculty would be of greatest assistance to the student; Deciding if an immediate referral to an attorney provided on the ASUN attorney referral list would be of the greatest assistance.
Athletic Trainer/Assistant/Associate Director, Sports Medicine, Nevada Athletics University of Nevada RenoAthletic Trainer/Assistant/Associate Director, Sports Medicine, Nevada AthleticsReno, NVThe position maintains electronic medical records, primary insurance of each athlete, coordinates medical coverage needed, assists with operation of the University's main and satellite athletic training facilities, administers drug testing, mentors graduate and undergraduate student athletic trainers, and maintains athletic training equipment. Today, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students' cognitive growth and academic achievement - all while remaining one of the best values in American higher education.
Student Worker- ASUN Assistant Director of Sustainability University of Nevada RenoStudent Worker- ASUN Assistant Director of SustainabilityReno, NVToday, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students cognitive growth and academic achievement - all while remaining one of the best values in American higher education. Collaborating with world-renowned organizations, the University fosters innovation through initiatives such as the Digital Wolf Pack partnership with Apple, which ensures equitable access to technology for students, providing new incoming freshman or transfer students with an iPad Air and accessories.
Director of Assessment Research and Accountability Shelton School DistrictDirector of Assessment Research and AccountabilityCarson City, NV$133,564–$151,983 / yearBenefits: 12 sick leave days; 2 personal leave days; 5 bereavement leave days (per occurence); 25 vacation days; 13 paid holidays; ability to cash out up to 5 vacation days per year; health insurance benefits through the School Employees Benefits Board (SEBB) including medical, dental, vision, life, and long-term disability insurance. The Director oversees the administration of state and local assessments, including NWEA MAP, SBA, WIDA, WA-AIM, WaKIDS, DIBELS, dyslexia screening (RAN/RAS), CogAT, and Fountas & Pinnell running records, while ensuring timely and accurate state and federal reporting.
Assistant Director, Utilities Services University of Nevada RenoAssistant Director, Utilities ServicesReno, NevadaToday, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students’ cognitive growth and academic achievement – all while remaining one of the best values in American higher education. Bachelor’s Degree in mechanical or electrical engineering, or related field from a regionally accredited institution and five (5) years of related professional work experience; OR Master’s degree in mechanical or electrical engineering, or related field from a regionally accredited institution and three (3) years of related professional work experience.
Sr Business Development Director Freeman Decorating Services, Inc.Sr Business Development DirectorNV$100,000–$125,000 / yearLearn Sparks' complete portfolio of products and services and have the ability to present our complete portfolio offering with special emphasis on professional services (creative and strategy), events, conferences, activations and exhibits. Pursue target accounts, evaluate opportunities, build relationships, collect key information and drive internal teams to create proposals and presentations to prospects.
Director, Corporate Accounts (West) Fresenius Kabi AGDirector, Corporate Accounts (West)NV$150,000–$175,000 / yearServe as the primary corporate accounts representative and executive point of contact for assigned national accounts across Group Purchasing Organizations (GPOs), distributors, Integrated Delivery Networks (IDNs), home healthcare groups, retail organizations, managed care entities, physician groups, and other strategic partners. This role works in close partnership with Sales, Contracting, Marketing, Customer Service, Clinical teams, and other cross-functional stakeholders to ensure strategic alignment, deliver value-based solutions to customers, and support the achievement of company growth objectives.
democracyFIRST Regional Organizing Director (ROD) - NV Progressive Turnout ProjectdemocracyFIRST Regional Organizing Director (ROD) - NVReno, NVOur electoral programming is designed to confront, isolate, and defeat the anti-democracy candidates and elected officials who pose the greatest threat of subverting our elections - those in positions that administer and certify our elections on a state level. Founded in 2021, democracyFIRST is a cross-partisan and ideologically diverse project that aims to restore the political consensus on the central pro-democracy principles underpinning our electoral process.
Director of Nursing Surgical Services Prime Healthcare Services IncDirector of Nursing Surgical ServicesReno, NVNationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics.
NewDirector of Nursing - Surgical Services Saint Mary's Regional Medical CenterDirector of Nursing - Surgical ServicesReno, NevadaFull timeNationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics.
Band & Choir Director Middle School High School - Long-Term Substitute Nine Mile Falls School DistrictBand & Choir Director Middle School High School - Long-Term SubstituteCarson City, NVEquipment Used: Computer, vacuum cleaner, lawn mower, floor scrubber, mop, cleaning supplies, maintenance tools and supplies, wet vacuum, wax applicator, electric hoist, hand truck, snow removal equipment, extractor, hand tools, scrubber/buffer, automatic scrubber, portable power tools, dolly, ladder, scaffolding, scissor lift, washer, dryer; occasional drywall repair and plaster application. {"data":{"jobSeekerSiteUnauthenticated":{"jobPostingSearch":{"results":[{"id":"157174","name":"Band & Choir Director (Middle School / High School) - Long-Term Substitute","orgId":"1623","organizationName":"Nine Mile Falls School District","orgLogo":"https://redroverlogos.blob.core.windows.net/orglogos/1623-Logo-638307499395017891.png","description":".
Student Worker - ASUN Co-Director of Student Elections and Democratic Engagement University of Nevada RenoStudent Worker - ASUN Co-Director of Student Elections and Democratic EngagementReno, NVToday, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students' cognitive growth and academic achievement - all while remaining one of the best values in American higher education. The ASUN Center for Student Engagement works collaboratively with ASUN, the office of the Associate Vice President for Student Life and the division of Student Services to engage, educate and empower undergraduate students to take action in the best interests of the student body and the University community.
Judicial Studies Graduate Program Director University of Nevada RenoJudicial Studies Graduate Program DirectorReno, NevadaToday, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students’ cognitive growth and academic achievement – all while remaining one of the best values in American higher education. Collaborating with world-renowned organizations, the University fosters innovation through initiatives such as the Digital Wolf Pack partnership with Apple, which ensures equitable access to technology for students, providing new incoming freshman or transfer students with an iPad Air and accessories.
Student Worker – ASUN Co-Director of Student Elections and Democratic Engagement University of Nevada RenoStudent Worker – ASUN Co-Director of Student Elections and Democratic EngagementReno, NevadaToday, the University delivers on its original land-grant mission of access to education and knowledge by investing in the academics, facilities, support, engagement and vibrant campus life that promote our diverse students’ cognitive growth and academic achievement – all while remaining one of the best values in American higher education. The ASUN Center for Student Engagement works collaboratively with ASUN, the office of the Associate Vice President for Student Life and the division of Student Services to engage, educate and empower undergraduate students to take action in the best interests of the student body and the University community.
Director of Commissioning MeadeDirector of CommissioningReno, NV$177,000–$228,000 / yearThe ideal candidate is a decisive, communicative leader, strategic by default and hands‑on when needed, capable of resolving complex field challenges while building a scalable, high‑performing practice that supports Meade's long‑term growth. 12+ years of progressive experience in commissioning, building engineering, or MEP construction, with at least 7 years in progressive leadership roles overseeing teams, budgets, and strategic operations.
Adversary Emulation Senior Director Caesars Entertainment IncAdversary Emulation Senior DirectorReno, NVResponsibilities include, but may not be limited to the following: Manage and Coordinate the Adversary Emulation Security Team: Manage members of the Offensive Security Team, 3rd party engagements, and coordination between teams to conduct various team activities, including penetration testing, red team operations, purple team exercises, and vulnerability assessments. The Adversary Emulation Senior Director will play a role in testing various aspects such as Application Security, Cloud Security, Consumer Fraud, Critical Infrastructure, Data Exfiltration, Emerging Technology, Hardware, Insider Threat, Mainframes, Network Security, Physical Security, Security Controls, and Social Engineering.
NewManaging Director, Client Data Engineering EvolentManaging Director, Client Data EngineeringCarson City, NV$175,000–$185,000 / yearThis role leads distributed engineering teams across domains such as provider, member, authorization, claims, and EAS-related client data flows, while partnering closely with Product, Implementation, Operations, Architecture, and business stakeholders to deliver reliable, scalable, and client-centered solutions. Bachelor's degree in Computer Science, Software Engineering, Information Systems, or a related field; 15+ years of experience in software engineering, data engineering, or healthcare data integration, including 7+ years in senior leadership roles managing distributed engineering organizations.
Associate Director, Patient Services and Distribution Case Management BeOne Medicines AGAssociate Director, Patient Services and Distribution Case ManagementNV$145,200–$195,200 / yearSpecifically, Case Manger will educate/update BeOne Corporate Account Directors, Market Access Directors, Field Account Managers, Specialty Pharmacy Partners, Healthcare Providers, Patients/Caregivers on the myBeOne Patient Support Program and Specialty Pharmacy/Distribution Network as needed. Director of Distribution/Trade Relations facilitate frequent calls with myBeOne, Corporate Account Directors, Field Account Managers, and Specialty Pharmacy Partners to understand patient journey and access specific patient therapy status/questions.
Memory Support Director Clearwater at RancharrahMemory Support DirectorReno, NevadaEnsure continuity of the memory care residents’ total care regimen by developing methods for the coordination of nursing services with other resident services: Work closely with all departments in the community to ensure memory care residents are receiving all available services to enhance their quality of life. The Memory Support Director serves as a liaison with hospital personnel, physicians, community organizations and other health related service agencies to provide quality care to our memory care residents, suffering from Dementia, Alzheimer’s or other memory disorders.
Site Director at CAS Elementary School KinderCare Learning Companies IncSite Director at CAS Elementary SchoolReno, NVWhen you join our team as a Site Director, you will: Lead and supervise a group of teachers to create unique and engaging classroom experiences, leverage and develop "best in class" educators to be passionate and committed professionals. At KinderCare Learning Companies, the first and only early childhood education provider recognized with the Gallup Exceptional Workplace Award, we offer a variety of early education and child care options for families.
Internal Medicine Program Director, (Physician Role) Saint Mary's Regional Medical GroupInternal Medicine Program Director, (Physician Role)Reno, NevadaFull timeNationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. This is an exciting opportunity for the right Internal Medicine physician to lead our Residency program and enjoy quality of life and team comradery working alongside highly trained physicians and support staff.
NewdemocracyFIRST PAC: democracyFIRST Regional Organizing Director - NV ArenademocracyFIRST PAC: democracyFIRST Regional Organizing Director - NVReno, NVQualifications (You will be a good fit if): At least 1 election cycle (or 1 year) of organizing or managing experience—whether on political campaigns, in local community organizations, or in a customer service role. Available to work weekends and evenings during initial phases; weekends and evening work will be required during GOTV phase .
Physician Clinic Medical Director Concentra Inc.Physician Clinic Medical DirectorSparks, NV$287,000–$310,000 / yearThis position is eligible to earn a base compensation rate in the state range of $287,000 to $310,000 annually PLUS a Director Stipend, depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team.
Director of Client Services (Full Time) Z5 InventoryDirector of Client Services (Full Time)NV$90,000–$100,000 / yearAs our Director of Client Services, you will be the operational and strategic anchor for our project delivery function - leading a team of high-performing Project Managers, championing client relationships at the executive level, and collaborating with our Data and Consulting teams to deliver outstanding outcomes across both client models. Serve as the senior client-facing leader for strategic accounts, building trusted relationships with CFOs, Directors of Supply Chain, VP-level operational leaders, and other key stakeholders at hospitals and outpatient surgery centers.
Internal Medicine Program Director, (Physician Role) Prime Healthcare Services IncInternal Medicine Program Director, (Physician Role)Reno, NVNationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. This is an exciting opportunity for the right Internal Medicine physician to lead our Residency program and enjoy quality of life and team comradery working alongside highly trained physicians and support staff.
NewDIVISION DIRECTOR - HUMAN SERVICES Washoe CountyNVDIVISION DIRECTOR - HUMAN SERVICESReno, NV$178,547.20–$249,974.40 / yearFive years of full-time management and leadership experience administering a major program area within a human or social services, public health, public sector, or related field AND a bachelor's degree from an accredited college or university in social work, public administration, business administration, psychology or closely related field; OR an equivalent combination of education and experience. The Human Services Agency Division Director represents the County and will possess the interpersonal skills and ability to develop trust and establish highly effective working relationships with staff at all levels of the organization including employees, officials, peers, stakeholder organizations, and the public.
Director Food and Beverage, West Region FirstService ResidentialDirector Food and Beverage, West RegionReno, NVFull timeThis role partners with association boards, developers, and on-site management teams to enhance resident experiences, improve operational efficiency, drive revenue growth and profitability, and ensure financial accountability. The Director develops and implements best practices, supports community growth initiatives, leads talent acquisition and development for F&B teams, and provides hands-on operational support to ensure exceptional service and consistent performance across all properties.
Pharmacy Director BrightSpring Health ServicesPharmacy DirectorRENO, NVPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. As a a non-retail pharmacy, we focus on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation facilities, long-term acute care centers, and other specialized care centers nationwide.
Medical Director - Sr Clinical Solution - Population Health (Medicare) CVS Health CorpMedical Director - Sr Clinical Solution - Population Health (Medicare)NVRemote$184,112–$396,550 / yearThe role will leverage existing data and reporting sources as well as develop new analytics to support health plan senior leadership to identify, develop, implement, and evaluate the effectiveness of strategic initiatives including trends, policies and programs, designed to drive the delivery of high value healthcare supporting a sustainable competitive business advantage for members. Clinical Solutions Medical Director, Population Health, Medicare position will serve as the liaison between data analytics/reporting teams and the clinical leadership team to identify trends in population health while providing a clinical perspective to effectively communicate and support clinical solutions aimed at improving patient care, safety and health outcomes of the Medicare membership.
Director, Environmental Remediation (Operations & Business Development) Acuity International LLCDirector, Environmental Remediation (Operations & Business Development)NVThe Director will work cross-functionally with program management, capture, contracts, and technical teams to ensure successful delivery of remediation projects while identifying and positioning the organization for future opportunities. Experience working with agencies such as U.S. Army Corps of Engineers (USACE), Department of Defense (DoD), Environmental Protection Agency (EPA), and/or Department of Energy (DOE).
Archaeological Field Director | NV Eocene Environmental GroupArchaeological Field Director | NVReno, NevadaOur team has spent the past two decades providing environmental, utility vegetation management (UVM), software and sustainability services. Ability to read, write and speak English sufficient to perform job duties and to interact and communicate with employees and vendors.
Director of Medicaid Renown HealthDirector of MedicaidReno, NVGovernance and Cross-Functional Leadership: Leads and coordinates internal governance structures and multidisciplinary workgroups to ensure performance across Medicaid initiatives, including financial results, utilization management, care management, quality performance, member engagement, provider access, transformation initiatives, contractual deliverables, and regulatory compliance. License(s): Certification(s): Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Behavioral Health Medical Director - AI Policy & Governance CVS Health CorpBehavioral Health Medical Director - AI Policy & GovernanceNV$174,070–$374,920 / yearRole summary: The Behavioral Health (BH) Medical Director (MD) for AI Policy & Governance provides clinical leadership to ensure artificial intelligence (AI)including predictive models and generative AIis designed, validated, implemented, and monitored in ways that are clinically sound, ethical, safe, compliant, and equitable. -Ensure equitable performance across populations (e.g., depending on how model was trained, training data may not always be representative), identify and mitigate algorithmic bias in care decisions; align AI deployment with organizational values and patient trust.