Registered Nurse First Assistant (RNFA) University HealthRegistered Nurse First Assistant (RNFA)Seguin, TXContinued Competency the RNFA demonstrates behaviors that progress on a continuum from basic competency to excellence, maintains CNOR status, and is encouraged to achieve and maintain CRNFA certification when eligibility requirements have been met. Must have a baccalaureate degree, with the exception that the RNFA practicing prior to January 1, 2020, may continue to practice at his or her existing level of education.
RN Assistant Director of Nursing- Stone Oak Touchstone CommunitiesRN Assistant Director of Nursing- Stone OakSan Antonio, TX$85,000–$87,000We’re looking for an experienced RN Assistant Director of Nursing (ADON) who has successfully led large nursing teams (10+ team members) in a high-demand skilled nursing environment and values teamwork, presence, and leading by example. This is a hands-on leadership role for someone who isn’t afraid to step onto the floor when needed, support their team during busy moments, and help create a positive, collaborative culture where nurses feel valued and supported.
Assistant Director, Facilities & Grounds Texas State UniversityAssistant Director, Facilities & GroundsSan Marcos, TXFull timeThe Assistant Director of Facilities and Grounds will lead and manage the administration and operation of the Facilities program, consisting of all Campus Recreation special events, Grounds Operations, Custodial Operations and Building Maintenance Operations in the pursuit of inspiring Bobcats to be their best and create lasting memories. Facility Management/Maintenance, Turf Maintenance: 30% Develop and manage a diverse Facilities program including the administration of all campus recreation grounds operations, custodial operations and building maintenance operations.
Assistant Director, Palliative Care University HealthAssistant Director, Palliative CareSeguin, TXCreates customized reporting, assists in coordination of plans, events and interfaces with various teams in support of the adult, pediatric and neonatal patient and family experience to include other Health System departments that provide clinical care and support to patients. Identifies areas in need of improvement and supports planning and evaluation efforts tailored to address the needs of patients and families with complex healthcare needs.
NewPhysical Therapy Assistant - $30-34 per hour Confluent HealthPhysical Therapy Assistant - $30-34 per hourSan Marcos, TX$30–$34 / hourWe’re a family of physical therapy and occupational therapy companies transforming healthcare by strengthening private practices, developing and educating highly effective clinicians, and lowering healthcare costs through workplace wellness and injury prevention. With 1,650+ sites of care and 4,500+ workplace injury prevention programs across the country, we’re creating better access to care and better careers for clinicians at every stage.
Outpatient Physical Therapy Assistant - $25-34 per hour PT Solutions Physical TherapyOutpatient Physical Therapy Assistant - $25-34 per hourSan Marcos, TXWith more than 650 locations across 23 states, we're driven by a shared passion for rehabilitation therapy, blending clinical expertise, innovative science, and best-in-class learning and continuing education to deliver transformative care to patients and communities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.
NewPhysician Assistant - Inpatient Services University HealthPhysician Assistant - Inpatient ServicesSeguin, TXSuccessful Completion of an educational program for physician assistants or surgeon assistants accredited by the Commission on Accreditation of Allied Health Education Programs, or by that committee’s predecessor or successor entities is required. In collaboration and consultation with physicians and other health care professionals, the physician assistant provides evidence-based, quality, compassionate and holistic care to inpatients and their families.
NewPhysician Assistant University HealthPhysician AssistantSeguin, TXGain understanding of the management of complex critical illness including: shock, sepsis, traumatic injury, cerebrovascular disease, acute kidney injury, acute respiratory failure, post-transplant care, post cardiac arrest, multisystem organ failure, etc. The University Health Critical Care Advanced Practice Provider (APP) Fellowship is a 12-month, post graduate training program for certified, licensed Acute Care Nurse Practitioners and Physician Assistants.
NewCritical Care Advanced Practice Provider Nurse Practitioner - Physician Assistant University HealthCritical Care Advanced Practice Provider Nurse Practitioner - Physician AssistantSeguin, TXUniversity Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy.
NewPhysician Assistant Specialty University HealthPhysician Assistant SpecialtySeguin, TXSuccessful Completion of an educational program for physician assistants or surgeon assistants accredited by the Commission on Accreditation of Allied Health Education Programs, or by that committee's predecessor or successor entities is required. Responsible for diagnostic and therapeutic management of patients by completing medical histories, conducting physicals, establishing diagnosis through tests, and formulating treatment plans.
NewNurse Practitioner / Physician Assistant University HealthNurse Practitioner / Physician AssistantSeguin, TXA Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. Serves as member of health care team that provides specialized health care including preventive care and on-going health maintenance for selected groups of patients.
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.
Travel Physical Therapy Assistant (PTA) - $1,108 to $1,303 per week in Luling, TX AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,108 to $1,303 per week in Luling, TXLuling, TX$1,107.58–$1,303.04Centra Healthcare Solutions is seeking an experienced Physical Therapist Assistant (PTA) that is licensed or in the immediate process, and qualifies, of obtaining Physical Therapist Assistant (PTA) licensure in the state of TX to work in the specialty area of Rehabilitation. We have many dynamic positions with cutting edge programs throughout the entire United States and various settings to meet each professional s criteria.
Travel Physical Therapy Assistant (PTA) - $1,169 to $1,408 per week in Luling, TX AlliedTravelCareersTravel 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.
NewDental Assistant Ideal DentalDental AssistantNew Braunfels, TXAt Ideal Dental, we’re committed to helping you grow professionally, providing you with opportunities to expand your skills, work with cutting-edge technology, and make a lasting impact on your patients. As a Dental Assistant at Ideal Dental, you will play a key role in delivering exceptional care and support to both our patients and dental team.
Travel Physical Therapy Assistant (PTA) in Luling, TX Concentric Healthcare StaffingTravel Physical Therapy Assistant (PTA) in Luling, TXLuling, TXAbility to follow established treatment plans and work collaboratively within interdisciplinary teams. Key Responsibilities Deliver therapy interventions in accordance with the supervising Physical Therapist's plan of care.
Travel Physical Therapy Assistant (PTA) - $1,108 to $1,303 per week in Luling, TX Centra Healthcare SolutionsTravel Physical Therapy Assistant (PTA) - $1,108 to $1,303 per week in Luling, TXLuling, TX$1,107.58–$1,303.04Centra Healthcare Solutions is seeking an experienced Physical Therapist Assistant (PTA) that is licensed or in the immediate process, and qualifies, of obtaining Physical Therapist Assistant (PTA) licensure in the state of TX to work in the specialty area of Rehabilitation. We have many dynamic positions with cutting edge programs throughout the entire United States and various settings to meet each professional s criteria.
Travel Physical Therapy Assistant (PTA) - $1,189 to $1,318 per week in Luling, TX AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,189 to $1,318 per week in Luling, TXLuling, TX$1,189–$1,318AlliedTravelCareers is working with LRS Healthcare to find a qualified Physical Therapy Assistant (PTA) in Luling, Texas, 78648! Demonstrated ability to maintain high level of professionalism during stressful times.
Travel Physical Therapy Assistant (PTA) - $1,321 to $1,362 per week in Luling, TX AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,321 to $1,362 per week in Luling, TXLuling, TX$1,320.78–$1,361.63AlliedTravelCareers is working with Pioneer Healthcare Services to find a qualified Physical Therapy Assistant (PTA) in Luling, Texas, 78648! Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities.
Travel Physical Therapy Assistant (PTA) - $1,487 per week in Luling, TX MedPro Healthcare StaffingTravel Physical Therapy Assistant (PTA) - $1,487 per week in Luling, TXLuling, TX$1,487MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Physical Therapy Assistant for an assignment with one of our top healthcare clients. *Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
Travel Physical Therapy Assistant (PTA) - $1,321 to $1,362 per week in Luling, TX Pioneer Healthcare ServicesTravel Physical Therapy Assistant (PTA) - $1,321 to $1,362 per week in Luling, TXLuling, TX$1,320.78–$1,361.63Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities. If you're interested in making a significant impact as a Physical Therapy Assistant (PTA) in a Rehabilitation Center setting this Luling, TX position might be what you are looking for!
NewTravel Physical Therapy Assistant (PTA) Fusion Medical StaffingTravel Physical Therapy Assistant (PTA)Luling, TXThe 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.
Assistant Director of Finance CFSAssistant Director of FinanceConverse, TXAssists the Grant Administrator in managing and monitoring the grant and contract accounting by budgets and deadlines to ensure proper and timely reporting to funding agencies. • Oversees and develops procedures, policies, and controls necessary to provide accurate records of expenditures and budget balances for agency programs.
NewPer Diem / PRN Occupational Therapist Assistant - $30-36 per hour PT Solutions Physical TherapyPer Diem / PRN Occupational Therapist Assistant - $30-36 per hourSan Marcos, TX$30–$36 / hourWith more than 650 locations across 23 states, we're driven by a shared passion for rehabilitation therapy, blending clinical expertise, innovative science, and best-in-class learning and continuing education to deliver transformative care to patients and communities. Job Overview & Responsibilities: Are you passionate about expanding access to transformative care, leading the way in innovative therapy practices, and pursuing clear, tangible pathways for professional growth and development?
Travel Physical Therapy Assistant (PTA) - $1,134 to $1,334 per week in Luling, TX Jackson Therapy PartnersTravel Physical Therapy Assistant (PTA) - $1,134 to $1,334 per week in Luling, TXLuling, TX$1,134.13–$1,334.13Downtown Austin is about 50 miles northwest, giving travelers access to live music venues, museums, and dining, while San Marcos sits about 25 miles west with outlet shopping and the San Marcos River. Choose from a variety of career options including direct hire, temp-to-hire, and travel contracts using ProVenture, our AI-enhanced career app designed for therapy professionals like you.
Assistant - Pediatric Occupational Therapist - $25-36 per hour Baptist Health System - San Antonio TXAssistant - Pediatric Occupational Therapist - $25-36 per hourSan Antonio, TX$25–$36 / hourIf you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. Baptist Health System - San Antonio TX is seeking a Pediatric Occupational Therapist Assistant for a job in San Antonio, Texas.
NewTravel Skilled Nursing Facility (SNF) Physical Therapy Assistant - $1,334 per week Jackson Therapy PartnersTravel Skilled Nursing Facility (SNF) Physical Therapy Assistant - $1,334 per weekLuling, TXDelivering a lifetime of opportunities in both contract and permanent positions, Jackson Therapy Partners™ connects highly skilled therapy and education professionals with rewarding careers at more than 1,300 rehab facilities, schools, outpatient clinics, hospitals, and skilled nursing facilities every year. Downtown Austin is about 50 miles northwest, giving travelers access to live music venues, museums, and dining, while San Marcos sits about 25 miles west with outlet shopping and the San Marcos River.
NewTravel Physical Therapy Assistant - $1,487 per week MedPro Healthcare Allied StaffingTravel Physical Therapy Assistant - $1,487 per weekLuling, TXAs a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation. MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Physical Therapy Assistant for an assignment with one of our top healthcare clients.
NewTravel Physical Therapy Assistant (Rehab) - $1,494 per week Synergy Medical StaffingTravel Physical Therapy Assistant (Rehab) - $1,494 per weekLuling, TXWhatever your preference, you can be sure there are plenty of Nursing Jobs, Allied Jobs and Physical Therapy Jobs, Occupational Therapy Jobs, Speech Therapy Jobs and Rehab Therapy jobs anywhere you want to go. Synergy Medical Staffing professionals have been in the Medical staffing employment and staffing industry for over 12 years, and have developed solid relationships with numerous healthcare facilities nationwide.
NewPer Diem / PRN Physical Therapy Assistant - $35-40 per hour PT Solutions Physical TherapyPer Diem / PRN Physical Therapy Assistant - $35-40 per hourSan Marcos, TX$35–$40 / hourWith more than 650 locations across 23 states, we're driven by a shared passion for rehabilitation therapy, blending clinical expertise, innovative science, and best-in-class learning and continuing education to deliver transformative care to patients and communities. Job Overview & Responsibilities: Are you passionate about expanding access to transformative care, leading the way in innovative therapy practices, and pursuing clear, tangible pathways for professional growth and development?
NewTravel Certified Occupational Therapy Assistant - $1,155 per week RCM HealthCare TravelTravel Certified Occupational Therapy Assistant - $1,155 per weekLockhart, TXSince 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. Pay package is based on 8 hour shifts and 30 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Physical Therapy Assistant - $1,195 per week Triage StaffingTravel Physical Therapy Assistant - $1,195 per weekLuling, TXWe staff all five major divisions of acute care—nursing, lab, radiology, cardiopulmonary and rehab therapy, offering: - Competitive, custom pay packages. So if that gig near the ocean is really no day at the beach, or that third shift comes with a second-class rate, we tell you.
NewTravel Long Term Care (LTC) Physical Therapy Assistant - $1,390 per week CoreMedical GroupTravel Long Term Care (LTC) Physical Therapy Assistant - $1,390 per weekLuling, TXEstimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more!
NewTravel Physical Therapy Assistant - $1,341 per week Pioneer Healthcare ServicesTravel Physical Therapy Assistant - $1,341 per weekLuling, TX$1,320.78–$1,361.63 / weekOur credentialing and compliance team is known for being the fastest and most communicative in the industry, and you'll have a dedicated recruiter and mentorship resources in your corner from day one, so you always have the support you need, when you need it. Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities.
Senior Assistant Store Manager Spencer Gifts - Spirit HalloweenSenior Assistant Store ManagerSan Marcos, TX$16.75–$17 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Assistant Store Manager - Spirit Spencer Gifts - Spirit HalloweenAssistant Store Manager - SpiritNew Braunfels, TX$16.75–$17.25 / hourThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store ensuring maximum sales/profitability by establishing and maintaining Guest Services, developing staff, controlling expenses, shrinkage and all aspects of merchandising and inventory control. The Assistant Store Manager supports the Store Manager in the staffing, setup, merchandising, pack-up and teardown of a Seasonal Store.
Assistant Store Manager - Spencer's Spencer Gifts - Spirit HalloweenAssistant Store Manager - Spencer'sSan Marcos, TX$14.75–$15 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Certified Nursing Assistant (CNA) (24128) Cantex Continuing Care Network LLCCertified Nursing Assistant (CNA) (24128)New Braunfels, TXAs a CNA, you will provide hands-on patient care, assist with activities of daily living (ADLs), and play a critical role in ensuring patient safety, comfort, and dignity in a skilled nursing setting. We are actively hiring a Certified Nursing Assistant (CNA) to join our high-performing healthcare team.
Child and Youth Program Assistant United States Air ForceChild and Youth Program AssistantFort Sam Houston, TX$18.70–$22.08 / hour18 months of experience working in a childcare or youth program, plus possession and maintenance of one of the following directly related to the age group of the position to which assigned: child development associate credential, military school age credential, or other nationally recognized youth development credential. 18 months of experience working in a childcare or youth program, plus an associate degree that includes a major course of study (24 credit hours) with content directly related to the age group to which assigned, from a regionally or nationally accredited college or university.
Program Coordinator / Clinical Assistant Faculty at 50% FTE - Diagnostic Medical Sonography: Health Sciences Texas State UniversityProgram Coordinator / Clinical Assistant Faculty at 50% FTE - Diagnostic Medical Sonography: Health SciencesSan Marcos, TXPosition Title Program Coordinator / Clinical Assistant Faculty at 50% FTE - Diagnostic Medical Sonography: Health Sciences Job Posting Number 2026118NTL Job Location San Marcos College/Division Academic Affairs Department/School College of Health Professions Position Description. Texas State University is a large, student-centered public research institution serving more than 40,000 students across undergraduate, graduate, and doctoral programs in San Marcos and Round Rock.
Assistant Program Director Management & Training CorporationAssistant Program DirectorKyle, TXCurrent licensure as a Licensed Chemical Dependency Counselor (LCDC) by the Texas Department of State Health Services (DSHS), or current valid certification as a Certified Criminal Justice Professional (CCJP) by the Texas Certification Board of Addiction Professionals or a current valid Qualified Credentialed Counselor (QCC) licensed to provide substance abuse treatment. At the conclusion of the program, an Individual Progress Summary will be developed for each offender on caseload to reflect the evaluation results together with comments about the offender''s level of participation and quality of completion in the SAFPF/IPTC programs.
NewCoordinator of Strategic Programs and Compliance New Diana Independent School DistrictCoordinator of Strategic Programs and ComplianceTXPrimary Purpose: Provide leadership, coordination, and oversight for districtwide strategic programs, including school safety and security, state assessment, Teacher Incentive Allotment (TIA), Career and Technical Education (CTE), College, Career, and Military Readiness (CCMR), and other initiatives assigned by the Assistant Superintendent. Coordinate district emergency preparedness activities, including emergency operations planning, required drills and exercises, safety audits, emergency communication systems, and School Safety Committee activities.
Teacher Assistant-Floater Community Council of South Central TexasTeacher Assistant-FloaterSeguin, TXFull timeAssists Teacher as needed to ensure child or family participation is documented appropriately into TSG; ensures high quality age-appropriate lessons/activities continue to be provided through CLASS DOJO virtual, live-lessons (when applicable).Assists Center Aides with their duties as needed to include: assisting with laundry, ensuring bathrooms, kitchen, and lobby are clean and adequately stocked, assisting with inventory and maintenance of center equipment and supplies and picking up and delivering meals. Individuals without a CDA credential, who do not meet any of the other requirements below, will be required to enroll in a CDA program to be completed within two (2) years from date of hireBe enrolled in a program to obtain their Associate's or Bachelor's degree in child development or early childhood education (ECE) as well as training or coursework with a focus on infant and toddler developmentPrior experience working with children age birth to five in a licensed child-care facility or other childcare setting preferred.
NewAssistant Dental Office Manager Aspen Dental Management IncAssistant Dental Office ManagerNew Braunfels, TX$17–$20 / hourAs an Assistant Dental Office Manager, you will report to the Manager and perform daily front office tasks and duties to help create lasting impressions and build trust and loyalty with patients. Consult with patients on treatment options provided by clinical team, verifying insurance payment and collection ensuring high quality of care.
Assistant Manager IHOPAssistant ManagerTX$45,000You will be responsible for managing key performance indicators, training and supervising staff, maintaining food safety procedures, and working closely with management to meet revenue objectives. As an Assistant Manager at IHOP, you will play a vital role in ensuring our team consistently delivers great food and service to our guests.
Assistant Property Manager The Lynd CoAssistant Property ManagerSan Antonio, TXLynd Management Group, LLC will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Lynd Management Group, LLC participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE.UU. Two-years of affordable housing property management experience overseeing a busy complex and staff that includes responsibility for financial and operational results, HUD/TC/AHDP/HOME/Bond administration, and staff supervision to ensure compliance with site-specific programs.
Assistant Manager (P1-1364680-5) Panda Restaurant Group IncAssistant Manager (P1-1364680-5)New Braunfels, TXWith close to 2,800 locations globally, we continue our mission of delivering exceptional Asian dining experiences by building an organization where people are inspired to better their lives. Employees must prepare hot and cold foods, use Chinese cook knife and other kitchen equipment and work quickly without losing accuracy.
Assistant Manager (P1-1364796-3) Panda Restaurant Group IncAssistant Manager (P1-1364796-3)Cibolo, TXWith close to 2,800 locations globally, we continue our mission of delivering exceptional Asian dining experiences by building an organization where people are inspired to better their lives. Employees must prepare hot and cold foods, use Chinese cook knife and other kitchen equipment and work quickly without losing accuracy.
Assistant Manager (P1-1364148-5) Panda Restaurant Group IncAssistant Manager (P1-1364148-5)San Antonio, TXWith close to 2,800 locations globally, we continue our mission of delivering exceptional Asian dining experiences by building an organization where people are inspired to better their lives. Employees must prepare hot and cold foods, use Chinese cook knife and other kitchen equipment and work quickly without losing accuracy.
Certified Occupational Therapy Assistant-PRN-San Antonio (Surrounding Cities) PARS TherapyCertified Occupational Therapy Assistant-PRN-San Antonio (Surrounding Cities)Terrell Hills, TXWe are looking for an individual who is sincerely dedicated to supporting others in developing, recovering, or sustaining vital daily living and work skills for individuals facing physical, mental, or developmental challenges. In this role, you will deliver meaningful, client-centered services that enable individuals to carry out daily tasks and activities with confidence and independence.