Psychiatric Technician - Statewide in CA California Correctional Health Care ServicesPsychiatric Technician - Statewide in CAHanford, CA$73,608–$95,527 / yearApplicants within four months of completing the Psychiatric Technician curriculum accredited by the BVNPTE will be admitted to the examination, but they must secure this license before being eligible for appointment.) . Organize and deliver basic general, behavioral, and psychiatric nursing care to patients, following the Mental Health Program Guide, policies, procedures, and regulations.
NewRadiology Technician Care CareerRadiology TechnicianHanford, CAResponsibilities: * Perform diagnostic radiographic imaging procedures as ordered * Position patients properly and ensure quality imaging results * Follow radiation safety, infection control, and facility policies * Review orders and confirm patient information prior to imaging * Maintain accurate imaging records and documentation * Communicate with medical providers and onsite healthcare staff as needed * Maintain equipment readiness and report any issues appropriately * Work professionally within a secure correctional healthcare setting. Requirements: * Active California Radiologic Technologist license/certification * ARRT certification preferred or required by facility * Current BLS certification preferred or required by facility * Minimum 12 months of recent radiology experience preferred * Ability to complete required onboarding, background clearance, and facility compliance requirements * Comfortable working in a correctional/secure healthcare environment * Strong communication, documentation, and patient care skills.
NewTravel Radiology Technician - $1,922 per week Catalytic SolutionsTravel Radiology Technician - $1,922 per weekChowchilla, CAWe partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.
Patient Care Technician DaVita IncPatient Care TechnicianFresno, CA$25–$32 / hourDaVita is hiring a Patient Care Technician (PCT) to support patients with end-stage renal disease in an outpatient dialysis clinic. Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.
NewPatient Care Technician - PCT Fresenius Medical Care AG & Co KGaAPatient Care Technician - PCTFresno, CA$25–$31 / hourEducation: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
Patient Care Technician - PCT Fresenius Medical CarePatient Care Technician - PCTClovis, California$25–$26 / hourAssist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
Specialty Pharmacy Technician Navigator - Patient Services, Ambulatory Cencora IncSpecialty Pharmacy Technician Navigator - Patient Services, AmbulatoryHanford, CA$48,200–$96,360 / yearRoutinely interfacing with office staff, providers and leadership to proactively identify an address areas for process improvement to drive improved patient access and prescription internalization. This role provides subject matter expertise relating to retail pharmacy access and affordability and consults directly with clinic staff and physicians to refer patients to the appropriate pharmacy based on the health system's established process.
NewPediatric Care Technician - Inpatient Post Surgical Unit - Part-time/Nights Valley Children's HospitalPediatric Care Technician - Inpatient Post Surgical Unit - Part-time/NightsMadera, CaliforniaThe pediatric inpatient post-surgical unit, also known as Explorer, is a dynamic and fast-paced, 35-bed unit, specializing in post-surgical care for patients across various specialties including orthopedics, general surgery, cardiac, and neurology. With centralized monitoring, our dedicated staff ensures high-quality care for every patient, offering an excellent opportunity for nurses to acquire diverse skills due to the rapid turnover and patient variety.
Patient Services Representative LucyRxPatient Services RepresentativeFresno, CaliforniaDemonstrate OMNI channel experience by effectively managing customer interactions across multiple communication platforms, including phone, email, chat, and other digital channels, ensuring a seamless and consistent service experience. Here, you’ll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry.
Certified Nursing Assistant (CNA) / Medication Technician (MT) The Vineyards | California Armenian HomeCertified Nursing Assistant (CNA) / Medication Technician (MT)Fresno, CA$22–$24 / hourBuilding on the legacy and vision of our Founders, the California Armenian Home, as a progressively led non-profit, is committed to provide a one-of-a-kind, people centered, planned community to serve all levels of senior living with extraordinary lifestyle experiences, compassionate care, and gracious hospitality. Administers and documents medications given by following specifically written physicians orders, including oral, topical, and suppository medications, as well as eye and ear drops.
Certified Surgical Technician Macpower Digital Assets Edge Private LimitedCertified Surgical TechnicianClovis, CA$49.79 / hourWorking well with surgeons, surgical assistant, nurses and general surgical team. Preparing patients for surgery by washing and disinfecting incision sites.
Optometric Technician Aria Community Health CenterOptometric TechnicianHanford, CAAssist patients in selecting frames and lens options; perform accurate measurements (monocular/binocular PD, seg height/fitting height, OC placement, vertex distance, pantoscopic tilt, face form/wrap) to support optimal fit and vision. Fit, adjust, and repair eyewear (alignment, temple adjustments, nose pads, screws, minor parts replacement) and educate patients on wear, care, troubleshooting, and warranty.
CARE NAVIGATOR University Health Services IncCARE NAVIGATORMADERA, CACollaborates with Business Development Coordinator to provide referral source feedback, maintains referral source data base per system requirements Collaborates with Director of Transportation to ensure timely addition of patients to transportation routes and facilitates parents needs related to transportation. Works with team members in an effective manner Maintains confidentiality of patient information Demonstrates guest relations in communication, cooperation and assistance for patients, families/physicians, licensed practitioners/co-workers and visitors in a prompt and courteous manner.
NewPart Time Plasma Center Technician- Phlebotomy Biolife Plasma ServicesPart Time Plasma Center Technician- PhlebotomyVisalia, CAThis role requires that all individuals on the team hold one of the following current/active certifications: California Certified Phlebotomy Technician 1 License (CPT1), a California Certified Phlebotomy Technician 2 License (CPT2), a California Clinical Laboratory Scientist License (CLS), or a California Medical Laboratory Technician License (MLT). We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include retirement benefits, medical/dental, family leave, disability insurance and more, all in a fast-paced, friendly environment.
None Psychiatric Technician STAFF TODAYNone Psychiatric TechnicianChowchilla, CAReferral Rewards- Receive referral bonuses for eligible healthcare professionals you refer.($800 referrer / $200 referee). Exclusive Employee Benefits - Enjoy free continuing education (CEUs) exclusive marketplace discounts, hotel savings, pet insurance, and Employee Assistance Program.
PSYCHIATRIC TECHNICIAN (SAFETY) State Of CaliforniaPSYCHIATRIC TECHNICIAN (SAFETY)Kings County, CA$6,134–$7,843Under the supervision of the Supervising Registered Nurse II/III, Correctional Facility, Unit Supervisor (Safety), or Senior Psychiatric Technician (Safety), the Psychiatric Technician (PT) (Safety) organizes and provides a basic level of general nursing and behavioral and psychiatric nursing care to patients in accordance with the Mental Health Program Guide, policies and procedures, and regulations in a variety of correctional health care settings. The PT (Safety) provides basic level of general nursing and behavioral and psychiatric nursing care to patients under valid authorization by a provider's order and the delegation and clinical direction of the Registered Nurse (RN), provides support to the care team for daily health care operations, and communicates effectively with patients and other members of the health care team.
Pharmacy Technician / Pharm Tech Apprenticeship Walgreen CoPharmacy Technician / Pharm Tech ApprenticeshipFresno, CA$19.50–$23 / hourPerforms duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers.
Pharmacy Technician II UCSF Medical CenterPharmacy Technician IIMadera, CAUnder the supervision of the Director and the direction of the Specialists in Poison Information, the Pharmacy Technician II - Provider provides assessment and management advice and follow up for emergency and informational telephone calls from the public made to the California Poison Center System at Valley Children's Hospital in Madera, CA. The Pharmacy Technician II is responsible for: Providing initial management advice and follow-up for emergency and informational telephone calls from the public to the poison control center (Madera Division of the California Poison Control System (CPCS)).
Pharmacy Technician - Elm CHC Clinica Sierra VistaPharmacy Technician - Elm CHCFresno, CAWe seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions.
ED Technician (Full-Time, Day Shift) Adventist Health SystemED Technician (Full-Time, Day Shift)Hanford, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
NewLab Support Technician - Per Diem - Varied Valley Children's HospitalLab Support Technician - Per Diem - VariedMadera, CaliforniaTechnical support duties are overseen by licensed personnel and may include specimen accessioning and processing, preparing specimens for testing, equipment operation, and performing daily routines necessary for the efficient operation of the assigned work area. Performs peripheral blood collection, assists nursing staff with line collections, and performs a variety of support functions in the clinical laboratory and anatomic pathology work areas.
NewLab Support Technician - Full-time/Evenings Valley Children's HospitalLab Support Technician - Full-time/EveningsMadera, CaliforniaTechnical support duties are overseen by licensed personnel and may include specimen accessioning and processing, preparing specimens for testing, equipment operation, and performing daily routines necessary for the efficient operation of the assigned work area. Performs peripheral blood collection, assists nursing staff with line collections, and performs a variety of support functions in the clinical laboratory and anatomic pathology work areas.
Cath Lab Technician Macpower Digital Assets Edge Private LimitedCath Lab TechnicianFresno, CA$70.97 / hourPerform conscious sedation and hemodynamic monitoring as necessary. Perform set up and provide equipment and supplies before, during and after procedures.
Pharmacy Technician Family Healthcare NetworkPharmacy TechnicianHanford, CAProfessional & Technical Knowledge: Effective June 1, 2026, all individuals hired into the role must: Possesses work-related skills at a higher level than completion of high school, including formal written and verbal communications skills, computational and computer skills, mathematical, and technical skills. Have proof of completion of high school with a minimum overall GPA of 2.5 or completion of General Educational Development (GED) with a minimum overall score of 162.5, and health care related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
NewSPD Technician QA Lead - Full-time/Varied Valley Children's HospitalSPD Technician QA Lead - Full-time/VariedMadera, California$26.63–$38.60 / hourThe SPD Technician Quality Assurance Lead is accountable for precepting and overseeing the training of new hires and preceptors, re-evaluation, and documentation in collaboration with the SPD Educator. This position is responsible for the daily audits of sterilization and cleaning equipment to meet requirements ( i.e. for CDPH and The Joint Commission), along with collaboration on process improvement with SPD Leadership.
Optical Technician United Health Centers of San Joaquin ValleyOptical TechnicianFowler, CAThe UHC Optometry Optical Technician (OT) shows genuine warmth with patients and has the ability to make them feel comfortable in the health center while providing effective and technically competent ophthalmic assistance to both patients and UHC optometrists. Works closely with the optometrist and lead optician to: Provides prompt optical support; promotes a smooth patient flow; collects and records data accurately; maintains order of optical and vision supplies.
Doctor's Technician Physicians Eye Care GroupDoctor's TechnicianClovis, CAEach Doctor Technician may be directed to support clinical care by the local PEG doctor who is supervising must meet the requirements set forth by PEG, including the computerbased learning to ensure proper patient clinical care. Execute simple customer repairs, assemble lenses into frames and edge stock lenses to expedite delivery of eyeglasses, and ensure customer orders are delivered accurately and on time.
Certified Pharmacy Technician Walmart IncCertified Pharmacy TechnicianCLOVIS, CA$22.50–$35.50 / hourCareer areasBrandsResourcesAbout UsMilitaryCertified Pharmacy TechnicianClovis, CAApply nowCertified Pharmacy TechnicianClovis, CAApply nowCertified Pharmacy TechnicianClovis, CAApply nowCertified Pharmacy TechnicianNeighborhood Market #56331830 Shaw AveClovis, CA 93611-0000CP-5633-9040Loading map. What you'll bringPharmacy/Pharmacy Technician/Pharmacy TechAssist and check out customers with prescriptions and over the counter medication questionsVision CenterAssist and check out customers with glasses and contacts* For a complete list of duties and responsibilities, please see the actual job description.#storejobs
Surgical Scrub Technician, OR Tech, ORT FullTime Regional Hand CenterSurgical Scrub Technician, OR Tech, ORT FullTimeFresno, CAFull timeThe OR Scrub Tech is responsible for scrubbing in types of cases during assigned schedule, room turnover between cases, stocking rooms and carts with communication to materials management, and equipment maintenance. Exhibits detailed knowledge of surgical instruments and prescribed procedures to provide surgeons the appropriate sterile surgical instruments and supplies throughout the course of surgery.
Store - Optometric Technician EssilorLuxottica SAStore - Optometric TechnicianClovis, CA$18.88–$26.88 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com. Determines the reason for the guests visit; in store explains how to shop at Target Optical; in Doctor's office explains all required paperwork, tests, products and services as well as the appropriate time frame.
Licensed Psychiatric Technician (LPT) AvaMed WorkforceLicensed Psychiatric Technician (LPT)Chowchilla, CaliforniaUnder general supervision of a Registered Nurse (RN) or Medical Doctor (MD), perform psychiatric nursing procedures, such as administer medications and treatments, including hypodermic injections, take and chart temperature, pulse, blood pressure and respiration, and all other basic general nursing procedures within the scope of licensure; d. Under the direction of the Institution's CEO/CNE or designee, the Temporary Relief Psychiatric Technician shall provide services as permitted within the scope of practice for Psychiatric Technician in accordance with Institution/Facility policies and procedures.
NewFOOD SERVICE TECHNICIAN I State Of CaliforniaFOOD SERVICE TECHNICIAN IFresno, CA$3,329–$4,163Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Applicants who do not submit the required items timely may not be considered for this job: Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.
Donor Center Technician Grifols SADonor Center TechnicianFresno, CAWere Grifols, a global healthcare company that produces essential plasma-derived medicines for patients and provides hospitals and healthcare professionals with the tools, information and services they need to deliver expert medical care. Third Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department.
Per Diem Flouroscopy Technician Urology Associates of Central California IncPer Diem Flouroscopy TechnicianFresno, CAPart timePER DIEM FLUOROSCOPY TECHNOLOGISTUrology Surgery – ESWL & Ureteroscopy Laser LithotripsyChestnut Surgery Center is looking for a per diem Fluoroscopy Technologist to join our urology surgical team in Fresno, CA. Work alongside a skilled surgical team in a fast-paced, single-specialty focused OR.Help ensure precise imaging and radiation safety for every patient, every case.
Operating Room Technician United Surgical Partners InternationalOperating Room TechnicianFresno, CA$25–$40 / hourA diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States.
NewCertified Pharmacy Technician Walgreen CoCertified Pharmacy TechnicianFresno, CA$20.50–$24 / hourMay assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions.
Registered Dietetic Technician Kaweah Delta Health Care DistrictRegistered Dietetic TechnicianVisalia, CaliforniaThis role supports the clinical nutrition team by reviewing consult orders, screening patients for nutrition risk, educating patients and families, and assisting the Food & Nutrition Department operations within the scope of practice. 8340 Food & Nutrition Svcs-KHMC The Registered Dietetic Technician (DTR) works under the supervision of a Registered Dietitian to provide high-quality nutrition care to patients, residents, clients, and/or the community.
OB Technician - Labor and Delivery (Per Diem, Variable Shift) Adventist Health SystemOB Technician - Labor and Delivery (Per Diem, Variable Shift)Hanford, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
OB Technician (Part-time regular, Variable Shift) Adventist Health SystemOB Technician (Part-time regular, Variable Shift)Reedley, CAReedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope.
Licensed Psychiatric Technician LPT Nightingale's ListLicensed Psychiatric Technician LPTChowchilla, CaliforniaUnder general supervision of a Registered Nurse (RN) or Medical Doctor (MD), perform psychiatric nursing procedures, such as administer medications and treatments, including hypodermic injections, take and chart temperature, pulse, blood pressure and respiration, and all other basic general nursing procedures within the scope of licensure. Give a basic level of general behavioral and psychiatric nursing care to mentally or developmentally disabled patient.
Pharmacy Technician BrightSpring Health ServicesPharmacy TechnicianFresno, CA$22–$23 / hourPharMerica, 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. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network.
NewBiomed Repair Technician (Monday- Friday) Med One GroupBiomed Repair Technician (Monday- Friday)Fresno, CaliforniaAbout Med One Group: Med One Group, a trusted leader in medical equipment and healthcare financing for more than 25 years, is seeking a skilled and detail-oriented Biomed Repair Technician to join our team in Fresno, CA. Assemble, clean, calibrate, troubleshoot, repair, and maintain a variety of medical equipment, including infusion pumps, patient monitors, ventilators, hospital beds, and bariatric beds.
HIM Technician Adventist Health SystemHIM TechnicianHanford, CAAdventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Sends completed birth certificates to county and processes fetal death certificates, responds to customer inquires regarding certificates and updates supervisor on information.
Biomedical Technician Il Kaweah Delta Health Care District GuildBiomedical Technician IlVisalia, CA$31.38–$47.07 / hourResponsible for technical service (e.g., inspection, maintenance and repair), support and records management of a wide variety of medical equipment and systems including but not limited to specialty care, surgery, respiratory, cardiology, physical therapy, telemetry and general patient care equipment. Assists Clinical Engineering management in researching areas for cost reduction and service improvements for all areas of the Medical Equipment Management Program including but not limited to: Service Agreements, Replacement Parts, and New Equipment Purchases.
Pharmacy Technician Omni Family HealthPharmacy TechnicianFresno, CASupports work of the area by filling prescriptions by retrieving prescription orders; counting, pouring, measuring or weighing medication tablets, liquids and creams; mixing or reconstituting medications as needed, selecting, filling and labeling prescriptions containers; and operating scanning equipment, and/or operating dispensing systems to ensure prescription accuracy. Ensures effective customer service by monitoring and resolving problems in the prescription fulfillment process by processing information for third party insurance claims; rescanning illegible images; alerting patients to inventory that is out of stock, partial fills, and the need for providers' authorizations on refills; and identifying situations requiring pharmacist's actions and resolution.
Overnight Registered Veterinary Technician - Tulare-Kings Veterinary Emergency Services PetVet Care CentersOvernight Registered Veterinary Technician - Tulare-Kings Veterinary Emergency ServicesVisalia, CA$23–$26.50 / hourResponsibilities include providing patient care by determining animal requirements, conducting examinations and diagnostic procedures, assisting during surgery and operations, providing nursing care, assisting with feeding and caring for patients, maintaining medical supplies and equipment, overseeing triage and discharging patients, and maintaining patient medical records. Support patient examinations and operations by assembling required supplies and instruments, securing and bringing patients to examination rooms, and restraining patients; aids as directed by the veterinarian.
NewFSH- Pharmacy Technician PRN United Surgical Partners International IncFSH- Pharmacy Technician PRNFresno, CAFresno Surgical Hospital is an extraordinary hospital created entirely to deliver excellence and quality in surgical care to each patient. Our unique facility and staff provide a hospitality- inspired, healing environment unlike anything experienced in a traditional hospital.
Veterinary Technician Central Valley Vet ClinicVeterinary TechnicianChowchilla, CAFull timeVeterinary Technician responsibilities include assisting the Veterinarian with surgeries and procedures, coordinating animal care, and monitoring animal recovery. We are seeking a compassionate Veterinarian Technician to join the team at our successful clinic.
NewLead Biomed Repair Technician (Monday-Friday) Med One GroupLead Biomed Repair Technician (Monday-Friday)Fresno, CaliforniaThis full-time, hourly Lead Biomedical Equipment Technician position is responsible for inspecting, repairing, calibrating, and maintaining medical equipment while providing technical support and leadership to the team. Med One Group, a trusted leader in medical equipment and healthcare financing for more than 25 years, is seeking a skilled and detail-oriented Lead Biomed Repair Technician to join our team in Fresno, CA.
Pharmacy Technician CVS Health CorpPharmacy TechnicianSanger, CA$18.90–$28.90 / hourContributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone; keeping patients healthy by offering immunizations and other services at the register and over the phone; and demonstrating compassionate care by solving or escalating patient problems. Technicians assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients' prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds patient expectations.