Gulf Coast Village Skilled NursingAssistant Director of Nursing Gulf Coast Village Skilled NursingAssistant Director of NursingCape Coral, FLThe primary purpose of the Assistant Director of Nursing Services is to assess, plan, implement and coordinate the clinical care program in conjunction with the Director of Nursing Services to ensure the highest quality of care is maintained at all times. Directs and oversees day-to-day functions of the nursing staff and nurse managers to ensure compliance with current rules, regulations and guidelines that govern this long-term care facility.
Ceco Concrete Construction, LLCAssistant Project Manager I - Fort Myers, FL Ceco Concrete Construction, LLCAssistant Project Manager I - Fort Myers, FLFort Myers, FLBachelors or Associates degree in Engineering, Construction Management, related degree, or its equivalent and a minimum of 1-2 years of work experience successfully supporting similar primary responsibilities meeting and exceeding performance expectations. Founded in 1912, Ceco has more than 100 years of experience serving the commercial construction industry as a client-centric, single source solution for concrete structures.
H2 HealthPhysical Therapist Assistant H2 HealthPhysical Therapist AssistantFort Myers, FL$52,000–$65,000 / yearAs a Physical Therapist Assistant (PTA) in our outpatient clinics, you’ll play a vital role in helping patients achieve their goals while growing within a collaborative, supportive, and clinician-led environment. Whether you enjoy a broad caseload or want to develop expertise in specialties like orthopedics, manual therapy, prosthetics, or vestibular rehab, we’ll help you get there.
H2HealthNewPhysical Therapist Assistant H2HealthPhysical Therapist AssistantFort Myers, FLAt H2 Health, we believe your career should fit your lifestyle—whether you’re excited to explore new places with our travel positions or prefer to make a lasting impact locally. Clinicians leading clinicians: Our team is driven by clinicians who empower one another to grow, innovate, and deliver exceptional patient care.
National Staffing SolutionsTravel Certified Occupational Therapist Assistant (COTA) - $1,225 to $1,415 per week in Port Charlotte, FL National Staffing SolutionsTravel Certified Occupational Therapist Assistant (COTA) - $1,225 to $1,415 per week in Port Charlotte, FLPort Charlotte, FL$1,225.13–$1,414.88We`re currently seeking a COTA - Skilled Nursing to join our amazing team with the following qualifications: One or more year(s) of experience as a COTA. Details of the COTA - Skilled Nursing opening in Port Charlotte, FL: Anticipated Start Date: 06/08/2026.
National Staffing SolutionsNewTravel Certified Occupational Therapist Assistant (COTA) - $1,225 to $1,415 per week in Naples, FL National Staffing SolutionsTravel Certified Occupational Therapist Assistant (COTA) - $1,225 to $1,415 per week in Naples, FLNaples, FL$1,225.13–$1,414.88We`re currently seeking a COTA - Skilled Nursing to join our amazing team with the following qualifications: One or more year(s) of experience as a COTA. Licensed to practice as a COTA with active license(s) in the state(s) in which employed and practices.
OptumNewPhysical Therapy Assistant, PTA Full Time OptumPhysical Therapy Assistant, PTA Full TimeEast Naples, FL$28–$42 / hourTotal cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
FYZICAL Naples (Pelican Bay)Physical Therapist Assistant Private Practice FYZICAL Naples (Pelican Bay)Physical Therapist Assistant Private PracticeNaples, FL$56,000–$79,000 / yearAt FYZICAL Naples (Pelican Bay), we deliver true 1-on-1 outpatient care, predictable schedules, and a culture built on ethics, compliance, and sustainability—not volume. Monthly Professional Support Stipend (student loan or cost-of-living support — predictable, not bonus-based).
Gastro HealthAdvanced Practice Provider (NP/PA), Gastroenterology - Full-Time - Fort Myers, FL Gastro HealthAdvanced Practice Provider (NP/PA), Gastroenterology - Full-Time - Fort Myers, FLFort Myers, FLOur APPs are valued clinical partners who practice at the top of their scope, with the autonomy to manage patient care, guide treatment decisions, and build meaningful patient relationships — while working in close collaboration with a supportive physician team. Now with more than 120 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience.
The Misch GroupFamily Practice Physician The Misch GroupFamily Practice PhysicianNaples, Florida$175,000–$250,000 / yearProvide comprehensive primary care services to patients of all ages, including preventative care, acute care, and chronic disease management. The ideal candidate will be committed to delivering high-quality, patient-focused care and contributing to the continued success of our growing practice.
Troon Golf LLCGolf Cart/Practice Range Attendant Troon Golf LLCGolf Cart/Practice Range Attendantnorth fort myers, FLBringing carts from the cart barn in the morning and returning carts to the cart barn at the end of the day. Ensure the clubhouse and practice range areas are kept orderly and clean, including restrooms and trash cans.
HCA Healthcare IncEmergency Medicine Advanced Practice Provider HCA Healthcare IncEmergency Medicine Advanced Practice ProviderEnglewood, FLQualified Candidates Must be board-certified by: • National Commission on Certification of Physician Assistants (NCCPA) • American Association of Nurse Practitioners (AANP) • American Nurses Credentialing Center (ANCC). Incentives Benefits Competitive compensation Emergency Department • 22,000 annual ED volume • 18-bed ED with 12 fast-track treatment chairs • Single Physician coverage 7A-7P 7P-7A • Average 10-12 hours per day • APP coverage.
Monogram Health Professional ServicesNurse Practitioner / Physician Assistant Monogram Health Professional ServicesNurse Practitioner / Physician AssistantNorth Fort Myers, FLPart timeMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs.
Government of FloridaASSISTANT STW PROSECUTOR-ATTORNEY-DLA - 41001959 Government of FloridaASSISTANT STW PROSECUTOR-ATTORNEY-DLA - 41001959FORT MYERS, FLAdvising and assisting the investigating agency in the completion of investigations and preparation of cases for prosecution, including the review of search warrants, electronic surveillance applications and orders, arrest affidavits and warrants; the taking of voluntary statements by witnesses or those given pursuant to subpoena; consultation with experts on the meaning and effect of technical evidence; researching applicable laws and regulations and applying them to the facts and evidence presented. Position Summary: An attorney employed by the Office of Statewide Prosecution serves as an Assistant Statewide Prosecutor and Assistant Statewide Grand Jury Legal Adviser, under the direction and supervision of a Bureau Chief Assistant Statewide Prosecutor.
HealthPRO HeritageCertified Occupational Therapy Assistant (COTA) HealthPRO HeritageCertified Occupational Therapy Assistant (COTA)Naples, FL$35–$39 / hourAs a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, schools and clinics. Patient Care & Treatment Implementation: Assist in delivering individualized therapy based on treatment plans developed by the Occupational Therapist, including activities to improve daily living skills (e.g., dressing, eating, mobility).
TMCOccupational Therapy Assistant TMCOccupational Therapy AssistantNaples, FL$30–$34 / hourHere is a description of the key responsibilities of a Certified Occupational Therapy Assistant: Patient Care Execution: Under the supervision of an occupational therapist, a Certified Occupational Therapy Assistant is responsible for executing the therapeutic plans designed to help patients. The Certified Occupational Therapy Assistant must observe changes in the patient's performance and behavior, report these observations to the occupational therapist, and adjust the therapy interventions accordingly to ensure continuous improvement.
SWICFT CardiologyMedical Assistant SWICFT CardiologyMedical AssistantNaples, Florida$19–$25Job Duties Include: Assisting clinicians with patient care, rooming patients, ECG, Holter & event monitor, chart abstraction & making sure all pertinent labs & diagnostic test results are available for the clinician; electronic prescription refills, and busy phone triage. SWICFT Cardiology, located in downtown Naples, is actively seeking a Medical Assistant for a busy, fast-paced cardiology office.
Falcon RecruitersPhysical Therapist Assistant - Naples Falcon RecruitersPhysical Therapist Assistant - NaplesNaples, FL$73,000–$80,000 / yearThis role is ideal for a clinician who enjoys working closely with patients, values autonomy in the field, and is focused on helping individuals improve mobility, function, and overall quality of life. An established and growing home health provider is seeking a Physical Therapist Assistant (PTA) to deliver high-quality, one-on-one care in the home setting throughout Naples.
Keiser UniversityAnesthesia Simulation Lab Assistant - PT Keiser UniversityAnesthesia Simulation Lab Assistant - PTNaples, FLHolds an active unrestricted CRNA license/certification in any United States jurisdiction and the state where the program is located if required by the state's jurisdiction. This role includes: Assisting with the administration, organization, and assessment of simulation-based learning within the Nurse Anesthesia program.
FIDEL GOLDSON DC PACertified Chiropractic Physician Assistant FIDEL GOLDSON DC PACertified Chiropractic Physician AssistantLehigh Acres, FL$20–$30 / hourWillingness to travel for specialized company training (specifically in the South Florida region) to stay updated on best practices; gas reimbursement provided. Administer and monitor rehabilitative treatments, including therapeutic ultrasound, E-Stim, heat/cold therapies, and other recovery modalities.
Monogram HealthNurse Practitioner / Physician Assistant Monogram HealthNurse Practitioner / Physician AssistantCape Coral, FLMonogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth.
Guest ServicesCertified Nursing Assistant (Overnight) - The Cove at Marbella Guest ServicesCertified Nursing Assistant (Overnight) - The Cove at MarbellaNaples, FloridaJob Summary: The certified nursing assistant is responsible for providing quality nursing care to residents; implements specific procedures and programs; coordinates work within the department, as well as with other departments; reports pertinent information to the immediate supervisor; and responds to inquiries or requests for information. Provides care that maintains each resident's skin integrity to prevent pressure ulcers, skin tears and other damage by changing incontinent residents, turning, repositioning immobile residents and by applying moisturizers to fragile skin and other areas.
Life Care Centers of America IncNewCertified Occupational Therapist Assistant (COTA) Life Care Centers of America IncCertified Occupational Therapist Assistant (COTA)Estero, FLSit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours. Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation.
Trusted Medical PLLCNewMedical Assistant Trusted Medical PLLCMedical AssistantPort Charlotte, FLStrong Microsoft Office skills (Word, Excel, Outlook, PowerPoint, and Teams) Knowledge of EKG, ABI, Spirometry, phlebotomy Required Knowledge and Skills: Ability to assist Veterans with walking, transfer, examination preparation etc. The role will require excellent customer service skills, Provider support in relation to checking Veterans/patients into the clinic, retrieving medical documentation, scheduling, and examination assistance.
SkyBridge HealthcareTravel Medical Assistant (MA) in Naples, FL SkyBridge HealthcareTravel Medical Assistant (MA) in Naples, FLNaples, FLClinical Assistant activities include clinical and administrative aspects of working in a medical facility (quality assurance, customer service and satisfaction, participation in planning and development activities, and following defined policies and procedures). Strong skills and experience working with computers, electronic medical record systems, quality assurance protocols, and indications of patient medical history .
Aegis TherapiesOccupational Therapy Assistant / COTA - Part-time Aegis TherapiesOccupational Therapy Assistant / COTA - Part-timeNaples, FL$27–$35 / hourAegis Therapies , one of the nation’s leading providers of rehabilitation and wellness services, is hiring an Occupational Therapy Assistant to join our supportive team and reap the benefits of some of the best career advantages in the industry. + Multiple settings nationwide: CCRC, SNF, Independent Living, Assisted Living, Outpatient Clinics, Home Health, Telehealth, Post-Acute.
Better Health GroupMedical Assistant Better Health GroupMedical AssistantFort Myers, FL$18–$22 / hourGreet and prepare patients for provider examination by obtaining patient history, chief complaint, current medications, medical history, allergies, surgical history, family history, social history, and other preventative medicine reviews, take patients' vitals, and record information in the patient electronic medical record . The Medical Assistant is a clinical role and is responsible for administrative and clinical tasks, such as maintaining patient records, preparing patients and rooms for examination, assisting physicians with exams, and performing front-desk tasks.
Better Health GroupRegional Medical Assistant Float Better Health GroupRegional Medical Assistant FloatEnglewood, FLGreet and prepare patients for provider examination by obtaining patient history, chief complaint, current medications, medical history, allergies, surgical history, family history, social history, and other preventative medicine reviews, take patients' vitals, and record information in the patient electronic medical record . The Regional MA Float is a clinical role and is responsible for administrative and clinical tasks, such as maintaining patient records, preparing patients and rooms for examination, assisting physicians with exams, and performing front-desk tasks.
Harmony United Psychiatric CarePsychiatric Office Assistant Internship/Outpatient Clinic (Certification Program)/Port Charlotte Harmony United Psychiatric CarePsychiatric Office Assistant Internship/Outpatient Clinic (Certification Program)/Port CharlottePort Charlotte, FLOur team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified physician assistants, and licensed therapists. The Psychiatric Office Assistant Internship Program is designed for individuals seeking to transition into healthcare careers or entry-level candidates without prior medical experience.
ConcentraPhysician Assistant PRN ConcentraPhysician Assistant PRNFort Myers, FloridaAs a Physician Assistant, you wil be subject to the medical protocols established by Association and the Chief Medical Officer of Concentra and in cooperation with other physicians assigned to a clinic or "Center", if any, Physician Assistant shall provide primary medical direction and coordination of professional medical care within the occupational health program. At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients.
AdventHealthCertified Medical Assistant Urology Port Charlotte AdventHealthCertified Medical Assistant Urology Port CharlottePort Charlotte, FL$17.11–$27.38 / hourProvides whole care to patients during office visits, including intake, test results, screenings, labs, medication administration, and closure of care gaps. Ensures efficient office flow by preparing patients and equipment for treatment, initiating testing, and documenting results in the practice's designated system.
AdventHealthCertified Medical Assistant Urology AdventHealthCertified Medical Assistant UrologyPort Charlotte, FL$17.11–$27.38 / hourProvides whole care to patients during office visits, including intake, test results, screenings, labs, medication administration, and closure of care gaps. Ensures efficient office flow by preparing patients and equipment for treatment, initiating testing, and documenting results in the practice's designated system.
AdventHealthAA*Certified Medical Assistant EP Port Charlotte AdventHealthAA*Certified Medical Assistant EP Port CharlottePort Charlotte, FL$17.11–$27.38 / hourProvides whole care to patients during office visits, including intake, test results, screenings, labs, medication administration, and closure of care gaps. Ensures efficient office flow by preparing patients and equipment for treatment, initiating testing, and documenting results in the practice's designated system.
Millennium Physician GroupNewMedical Assistant - Walk In Clinic (PRN) Millennium Physician GroupMedical Assistant - Walk In Clinic (PRN)Port Charlotte, FLThe Certified/Registered Medical Assistant II (CMA/RMA) is responsible for providing high-quality, compassionate clinical and administrative support to physicians, hospitalists, and other healthcare. Conducts comprehensive patient intakes, including obtaining vital signs, recording medical histories, and reviewing medication and allergy information.
STATE OF FLORIDANewASSISTANT STW PROSECUTOR-ATTORNEY-DLA STATE OF FLORIDAASSISTANT STW PROSECUTOR-ATTORNEY-DLAFort Myers, FLAdvising and assisting the investigating agency in the completion of investigations and preparation of cases for prosecution, including the review of search warrants, electronic surveillance applications and orders, arrest affidavits and warrants; the taking of voluntary statements by witnesses or those given pursuant to subpoena; consultation with experts on the meaning and effect of technical evidence; researching applicable laws and regulations and applying them to the facts and evidence presented. Position Summary: An attorney employed by the Office of Statewide Prosecution serves as an Assistant Statewide Prosecutor and Assistant Statewide Grand Jury Legal Adviser, under the direction and supervision of a Bureau Chief Assistant Statewide Prosecutor.
STATE OF FLORIDANewASSISTANT STW PROSECUTOR-ATTORNEY-DLA - 41001959 STATE OF FLORIDAASSISTANT STW PROSECUTOR-ATTORNEY-DLA - 41001959Fort Myers, FLMaking charging decisions based on all relevant and material factors available, in consultation with the Bureau Chief Assistant.* Establishing contact and coordination with other divisions within the Department of Legal Affairs, or other law enforcement or regulatory agencies, for he purpose of pursuing necessary civil or administrative remedies in appropriate cases.* AnnuallyPosition Summary: An attorney employed by the Office of Statewide Prosecution serves as an Assistant Statewide Prosecutor and Assistant Statewide Grand Jury Legal Adviser, under the direction and supervision of a Bureau Chief Assistant Statewide Prosecutor.
PediatrixPhysician Assistant - Neonatal PediatrixPhysician Assistant - NeonatalFort Myers, FLResponsibilities:Pediatrix Medical Group is excited to welcome a Neonatal Physician Assistant to our well-established and highly respected practice at Golisano Children s Hospital, the premier children s hospital serving Southwest Florida. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices.
American Oncology Network IncNewFloat Medical Assistant- Florida Oncology and Hematology American Oncology Network IncFloat Medical Assistant- Florida Oncology and HematologyFort Myers, FL$16.72–$27.86 / hourAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. In this role, you will provide direct patient care, assist with in-office procedures, coordinate testing and referrals, and help ensure a positive patient experience in a fast-paced, team-oriented environment.
Healthpro Heritage, LLCCertified Occupational Therapy Assistant (COTA) Healthpro Heritage, LLCCertified Occupational Therapy Assistant (COTA)Naples, Florida$35–$39 / hourAs a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, schools and clinics. Responsibilities: Patient Care & Treatment Implementation: Assist in delivering individualized therapy based on treatment plans developed by the Occupational Therapist, including activities to improve daily living skills (e.g., dressing, eating, mobility).
MSWG LLCAssistant General Manager MSWG LLCAssistant General ManagerNaples, FLConsistently exhibits the actions/behaviors which best demonstrate the company values; perform all other tasks as directed by the company leadership team to include all restaurant management and their assigned representatives; always represent Moe's and Quality Fresca, LLC as a professional in every aspect of performance. The employee must regularly be able to detect, perceive, identify, recognize, judge, inspect, estimate, observe, and assess items, information, and objects in an office or remote office setting; or restaurant environment.
PDS HealthTraveling Dental Assistant Endodontics PDS HealthTraveling Dental Assistant EndodonticsNaples, Florida$20.75–$29 / hourSpecialty Dental Assistants If dental assistant is assigned within specialty areas including: Endodontics, Oral Surgery, Orthodontics, Periodontics or Pediatric, they will primarily be supporting clinicians within that specialty and may be required to have additional training. In lieu of a valid driver’s license and automobile insurance, Specialty Dental Assistant must have reliable means of alternate transportation which would allow for required, timely travel to multiple offices per day, in some cases several times per day.
Better-Health-GroupMedical Assistant Better-Health-GroupMedical AssistantFort Myers, Florida$18–$22 / hourGreet and prepare patients for provider examination by obtaining patient history, chief complaint, current medications, medical history, allergies, surgical history, family history, social history, and other preventative medicine reviews, take patients' vitals, and record information in the patient electronic medical record . The Medical Assistant is a clinical role and is responsible for administrative and clinical tasks, such as maintaining patient records, preparing patients and rooms for examination, assisting physicians with exams, and performing front-desk tasks.
Discovery Senior LivingExecutive Assistant/Paralegal Discovery Senior LivingExecutive Assistant/ParalegalBonita Springs, FL$2,025–$2,026As the Executive Assistant / Paralegal, your role includes providing high-level administrative, operational, and project-based support to the General Counsel while ensuring seamless coordination, organization, and execution across key initiatives. As Executive Assistant / Paralegal, you’ll play an essential role in supporting senior leadership, driving organization and execution, and contributing to the success of a dynamic and growing organization.
Better-Health-GroupRegional Medical Assistant Float Better-Health-GroupRegional Medical Assistant FloatEnglewood, FloridaGreet and prepare patients for provider examination by obtaining patient history, chief complaint, current medications, medical history, allergies, surgical history, family history, social history, and other preventative medicine reviews, take patients' vitals, and record information in the patient electronic medical record . The Regional MA Float is a clinical role and is responsible for administrative and clinical tasks, such as maintaining patient records, preparing patients and rooms for examination, assisting physicians with exams, and performing front-desk tasks.
Healthcare NetworkMedical Assistant for Pediatric Office in Naples Healthcare NetworkMedical Assistant for Pediatric Office in NaplesNaples, FLWe provide quality medical, dental and behavioral health services through board certified physicians and evidence-based practices to ensure that the whole patient receives quality care, regardless of insurance or income status. Candidates for hire must complete our pre-employment processing, which includes a Level 2 AHCA screening, urine drug screen, and validation of job-required immunizations.
Millennium Physician GroupMedical Assistant Millennium Physician GroupMedical AssistantFort Myers, FLThe worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Conducts comprehensive patient intakes, including obtaining vital signs, recording medical histories, and reviewing medication and allergy information.
Millennium Physician GroupMedical Assistant I (CMA/RMA) Millennium Physician GroupMedical Assistant I (CMA/RMA)Englewood, FLThe Certified/Registered Medical Assistant II (CMA/RMA) is responsible for providing high-quality, compassionate clinical and administrative support to physicians, hospitalists, and other healthcare. The worker must have close visual acuity to perform an acvity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Millennium Physician GroupMedical Assistant II Float Millennium Physician GroupMedical Assistant II FloatNaples, FLWe believe great care starts with great people and were committed to creating a supportive, collaborative environment where you can grow your skills, build meaningful patient relationships, and feel truly valued. If youre an experienced, patient-focused Medical Assistant looking for a stable, team-oriented environment, wed love to welcome you.
Millennium Physician GroupNewMedical Assistant II (Englewood) Millennium Physician GroupMedical Assistant II (Englewood)Englewood, FLThe Certified/Registered Medical Assistant II (CMA/RMA) is responsible for providing high-quality, compassionate clinical and administrative support to physicians, hospitalists, and other healthcare. The worker must have close visual acuity to perform an acvity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Berman Physical TherapyPhysician Assistant – Functional Medicine & Nutrition (PA-C) – Part-Time Berman Physical TherapyPhysician Assistant – Functional Medicine & Nutrition (PA-C) – Part-TimeNaples, FLPart timeWe’ve intentionally designed this as a lifestyle position for a high-level clinician who wants the best of both worlds: Meaningful work. We help adults—primarily 50+—move better, feel better, and live longer without relying on medications, surgeries, or fragmented care.