NewDispatch Manager | Waste & Recycling GpacDispatch Manager | Waste & RecyclingNashville, TN72000–92000The company is dedicated to providing efficient and reliable waste collection services, and the Dispatch Manager will play a pivotal role in ensuring that these services are delivered with precision and professionalism. The Dispatch Manager is responsible for overseeing the daily dispatching operations, managing a team of dispatchers, and ensuring that all routes and services are executed efficiently.
Regional Sales Manager Motive Technologies IncRegional Sales ManagerNashville, TN$184,000–$250,000 / yearMotive serves nearly 100,000 customers - from Fortune 500 enterprises to small businesses - across a wide range of industries, including transportation and logistics, construction, energy, field service, manufacturing, agriculture, food and beverage, retail, and the public sector. Combined with industry leading AI, the Motive platform gives you complete visibility and control, and significantly reduces manual workloads by automating and simplifying tasks.
General Manager in Training - Retail (Nashville, TN, US, 37207) Love's Travel Stops & Country Stores IncGeneral Manager in Training - Retail (Nashville, TN, US, 37207)Nashville, TNWith nearly 40,000 team members, travel stops are the core business along with products and services that provide value for professional drivers, fleets, traveling public, RVers, alternative energy and wholesale fuel customers. Exceptional customer service, positive rapport building, expert salesmanship, and ensuring satisfaction by managing operations and employee-vehicle deployment.
General Manager in Training - Retail Love's Travel Stops & Country StoresGeneral Manager in Training - RetailChristiana, TNWith nearly 40,000 team members, travel stops are the core business along with products and services that provide value for professional drivers, fleets, traveling public, RVers, alternative energy and wholesale fuel customers. + Exceptional customer service, positive rapport building, expert salesmanship, and ensuring satisfaction by managing operations and employee-vehicle deployment.
Commercial Sales Manager AutoZone IncCommercial Sales ManagerNashville, TNAs permitted by state or local law, AutoZone may consider certain offenses to be relevant to positions responsible for conducting or overseeing financial transactions on behalf of AutoZone, driving company vehicles and/or supervision of minors. This role blends your passion for automotive parts with your sales expertise, empowering you to build lasting partnerships with commercial accounts and deliver exceptional service that truly WOWs.
Transportation Manager Advance Stores CompanyTransportation ManagerLa Vergne, TennesseeInfluence and Credibility : Capability to influence decision-making and instill credibility in customers, peers, and subordinates through meeting strategic and tactical objectives, deadlines, and budgets. Material Handling : Some experience of operating material handling equipment (MHE), specifically powered and manual pallet jacks, hand trucks, and forklifts.
NewQuality Control Manager - Final Mile SUDDATH COMPANIES, THEQuality Control Manager - Final Milela vergne, TNThe Suddath Companies is a multifaceted group of companies that specialize in worldwide corporate employee relocations, household moving, warehouse and logistics management and specialized transportation services. Ability to lift and stack items weighing up to 30 pounds over head, and lift and stack items weighing up to 65 pounds to chest height and carry them a distance of fifty feet.
Quality Control Manager - Final Mile NXTPoint LogisticsQuality Control Manager - Final MileLa Vergne, TennesseeWith over 30 owned facilities, more than 3.5 million square feet of warehouse space and an extensive partner network, NXTPoint Logistics offers the broad capabilities and reach of a large 3PL company while maintaining its commitment to being the most flexible and responsive provider in the industry. NXTPoint Logistics provides a complete range of end-to-end supply chain solutions spanning from distribution, warehousing and fulfillment to managed logistics, transportation and final mile delivery.
City Manager Avis Budget Group IncCity ManagerTennessee, TNThe City Manager serves as a business partner, leading, managing and developing an assigned district to operational success and financial profitability across functional areas such as of operations, marketing, sales, maintenance, and risk management, fleet delivering company programs, initiatives and solutions in support of key business strategies. Forecasts, budgets and manages the key financial drivers of a city to include revenue, transactions, market segment mix, utilization, fleet mix, wage expense, daily dollar average, revenue per unit, incremental revenue penetration and fleet size.
Fleet Maintenance Manager | Waste & Recycling GpacFleet Maintenance Manager | Waste & RecyclingNashville, TN85000–100000Our client, a leader in the waste management industry, is seeking an experienced and proactive Fleet Maintenance Manager to oversee the maintenance and repair of their fleet of waste collection vehicles. The company is committed to operational excellence and sustainability, and the Fleet Maintenance Manager will play a crucial role in ensuring the reliability and safety of the fleet.
Earth Moving Construction Project Manager GpacEarth Moving Construction Project ManagerLebanon, TN100000–120000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. This critical role manages the paving crew, ensures efficient production, and upholds quality control.
Regional Transportation Manager - Nashville, TN 7-Eleven IncRegional Transportation Manager - Nashville, TNNashville, TNThe Regional Transportation Manager oversees the daily activity of the fuel transport drivers; ensures safe, timely and accurate deliveries of light products; ensures drivers are in compliance with all Federal, State and local rules and regulations and Company policies and procedures. Collaborates with regional dispatch centers to coordinate the dispatch of Company transport drivers and/or common carriers to marketing outlets, consumer accounts, and bulk plants to affect maximum efficiency and savings on deliveries.
Senior Manager Finance - REMOTE Ryder System IncSenior Manager Finance - REMOTENashville, TNRemoteCompensation 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 ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Field Marketing Manager Motive Technologies IncField Marketing ManagerNashville, TNMotive serves nearly 100,000 customers - from Fortune 500 enterprises to small businesses - across a wide range of industries, including transportation and logistics, construction, energy, field service, manufacturing, agriculture, food and beverage, retail, and the public sector. Develop and implement tailored field marketing programs aligned with overall GTM strategy and Central Enterprise priorities, including field events, executive programs, conferences, and 1:1 account-specific experiences.
U-Haul Moving Center General Manager U-Haul International IncU-Haul Moving Center General ManagerLa Vergne, TNThe states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. Physical Demands: The work requires some physical exertion such as long periods both indoors and outdoors of remaining stationary, traversing spaces, repositioning to reach and use tools, and moving a minimum of 50 lbs assisted or unassisted.
Business Manager Waves, IncBusiness ManagerFranklin, TNThe duties of this position include: Manage the bookkeeping function including maintenance of the general ledger, accounts payable, accounts receivable, payroll, fixed asset management, fleet management and account reconciliations. Prepare and review monthly financial statements and adjacent reporting for Chief Operating Officer, in accordance with GAAP, including variance reporting, analysis and forecasting.
Retail General Manager Love's Travel Stops & Country StoresRetail General ManagerHillsboro, TNWith nearly 40,000 team members, travel stops are the core business along with products and services that provide value for professional drivers, fleets, traveling public, RVers, alternative energy and wholesale fuel customers. You will lead staff, including Operations Managers and Assistant Managers, to provide exceptional customer service, managing processes, and executing strategies to enhance sales and customer satisfaction.
Finance Manager, AMZL Fleet Finance Amazon.com IncFinance Manager, AMZL Fleet FinanceNashville, TNThis Finance Manager will partner with Global Fleet & Products team to build a fleet that scales with the network, provides flexible capacity as needed, supports current and future driver models, and consistently improves products and services that increase utilization and reduces the burden of managing vehicles. The successful candidate will leverage AI-powered tools including Orcha, Aza, QuickSuite, and other emerging technologies to accelerate analysis, enhance decision-making, and drive operational efficiency.
Live Events Project Manager Sunbelt Rentals IncLive Events Project ManagerNashville, TN$85,680–$117,810 / yearPosition Objective: The Field Project Manager-Live Events is a pivotal figure onsite during large-scale Live Events, (Music Festivals, Stadium Tours, Sporting Events). You will be the primary point of contact on-site, potentially managing labor crews, coordinating Sunbelt & third-party trucking, while troubleshooting in real-time to deliver a world class customer experience.
Manager Trainee Hertz CorpManager TraineeFranklin, TNThe Hertz Corporation operates the Hertz, Dollar Car Rental, Thrifty Car Rental brands in approximately 9,700 corporate and franchisee locations throughout North America, Europe, The Caribbean, Latin America, Africa, the Middle East, Asia, Australia and New Zealand. A Day in the Life: Hertz Local Edition (HLE) is focused on delivering flexible, local rental solutions to a wide range of customers outside of our airport hubs.
Restaurant Manager - Unit 912 Whataburger RestaurantsRestaurant Manager - Unit 912TennesseeYou’ll Make a Difference by supporting operational performance, Serve with Heart by developing your team, Win as One through partnership with your Operating Partner and fellow leaders, and Move Forward Boldly by driving improvements that strengthen your restaurant and grow your leadership. Comprehensive education benefits, including access to free English‑language learning, no‑cost college‑level courses, and reduced college tuition pathways.
Sales Manager 24-7 Hotel ManagementSales ManagerNashville, TennesseeLa Quinta Inn & Suites Nashville Airport is seeking an energetic, results-driven Sales Manager to lead the hotel's sales efforts and grow revenue across corporate, group, and extended stay business segments. Working closely with the General Manager, the Sales Manager will oversee the hotel's sales activities, forecasting, business development, marketing efforts, and community engagement to achieve revenue goals.
Regional General Manager - Vaccines Southeast SanofiRegional General Manager - Vaccines SoutheastNashville, TN$232,500–$387,500 / yearThis individual brings a proven track record of leading large, complex commercial organizations to top-tier sales performance, a demonstrated ability to influence across matrixed functions, and the strategic depth to shape how Sanofi Vaccines competes and grows in an increasingly dynamic market. The Regional General Manager - Vaccines Southeast operates as a strategic enterprise leader, serving as an accountable member of integrated brand teams, co-creating national commercial strategy, and influencing resource allocation, forecasting, and go-to-market design at a national scale.
Senior Portfolio Operations Manager Metropolitan Government of Nashville and Davidson CountySenior Portfolio Operations ManagerNashville, TN$85,692–$98,446 / yearAssists with strategic leadership in regulatory compliance, interpreting, with strategic leadership in regulatory compliance, interpreting and operationalizing evolving Federal, State, HUD, and program-specific requirements across Low-Income Housing Tax Credit (LIHTC), HOME, PBRA, and mixed-income platforms to ensure consistent alignment. Leads data-informed annual budget development in partnership with site teams by analyzing historical performance, forecasting revenue and expense trends, and integrating real-time market intelligence; monitors performance dashboards and predictive indicators to ensure each property achieves or exceeds net operating income targets.
Field Case Manager I CorVel CorpField Case Manager IFranklin, TNRemote$63,739–$95,264 / yearIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Afterhours RN Care Manager Gentiva Health Services IncAfterhours RN Care ManagerNashville, TNThe Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.
Afterhours RN Care Manager - 7500 Sign on Bonus Gentiva Health Services Inc (Inactive)Afterhours RN Care Manager - 7500 Sign on BonusNashville, TNThe Afterhours Care Manager RN is responsible for assessing and coordinating patient and family needs during after-hours shifts and maintaining primary clinical oversight for assigned patients. Provide direct in-person patient care during on-call, weekend, and after-hours shifts, including assessments, admissions, routine visits, death visits, and live discharges.
NewProject Manager (Structural Steel) GpacProject Manager (Structural Steel)Antioch, TN90000–120000The position involves working closely with customers, internal teams, and vendors, with a key responsibility for managing change orders—including generating costs based on labor hours and materials and clearly justifying those costs to customers. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.
Store Service Manager TN Murfreesboro 028Store Service ManagerMurfreesboro, TennesseePosition Summary As a Store Manager at Precision Tune Auto Care, you’ll lead a team that drives sales in service, parts, and fleet operations while delivering exceptional customer service. We provide total car care—from oil changes and diagnostics to engine repairs and scheduled maintenance—and we’re passionate about keeping drivers safe on the road.
Assistant Facility Manager Jones Lang LaSalle IncAssistant Facility ManagerNashville, TNRemoteWorking directly under the guidance of the Facilities Manager, Senior Facilities Manager, or IFM Director, you'll manage the day-to-day execution of comprehensive facility management programs while building strong relationships across all stakeholders. What your day-to-day will look like: Manage, oversee, and coordinate daily facility operations including HVAC, electrical, plumbing, fire/life/safety systems, landscaping, pest control, BMS, and related building systems.
RETAIL DISTRICT MANAGER UNASSIGNED Dollar GeneralRETAIL DISTRICT MANAGER UNASSIGNEDLEBANON, TennesseeFull timeIdentify and develop new business opportunities within operational area (i.e., distribution flow improvements, merchandising display efforts, store growth and real estate site selection, recruiting strategy, training and development priorities, employee Relations, customer service, systems implementation, etc.). Every day.® by offering products that are frequently used and replenished, such as food, snacks, health and beauty aids, cleaning supplies, basic apparel, housewares and seasonal items at everyday low prices in convenient neighborhood locations.
NewDelivery Excellence Manager Clarks White Glove Delivery IncDelivery Excellence ManagerLa Vergne, TNFull timeAs our Delivery Excellence Manager, you'll have the opportunity to shape the culture of our delivery teams, mentor future leaders, and directly impact the experience our customers receive every single day. This is a leadership position for someone who thrives under pressure, loves solving problems in real time, and enjoys building winning teams.
Registered Nurse Case Manager Hospice BrightSpring Health ServicesRegistered Nurse Case Manager HospiceTNAdoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more!
Sales Manager Hall's Culligan WaterSales ManagerNashville, TennesseeAs the premium provider of drinking water and water treatment services for the greater part of a century, Hall’s Culligan continues to innovate and expand our business nationwide by offering tailored solutions to meet the specific needs of each customer backed by our superior Culligan service. The Sales Manager uses market insights and product expertise to shape strategy, partners with marketing to amplify sales efforts, and maintains a strong presence in the community to build brand visibility and local relationships.
Assistant Store Manager, Petsense Tractor Supply CoAssistant Store Manager, PetsenseFranklin, TNDuties include providing leadership and direction to the store and salon team, ensuring a positive customer shopping experience and performing operational activities throughout the store and giving appropriate direction to the store Team Members. Drive sales and profit through driving top line sales, creating and modeling behaviors to support a culture of selling, executing merchandising initiatives, expense control, profit/loss management, as well as protecting company assets and reducing shrink.
Account Manager - Pinnacle at Symphony Garage Nashville, TN Towne Park LtdAccount Manager - Pinnacle at Symphony Garage Nashville, TNNashville, TN$54,700–$82,100 / yearThe associate is regularly required to run; stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk and hear. Whether providing compassionate service that eases the anxiety of a patient and their family, creating a memorable experience for a guest in a new city, or helping a colleague, every day is a new opportunity to brighten someone else's day and make an impact.
Market Area Manager - Memphis, TN Credit Acceptance CorporationMarket Area Manager - Memphis, TNTennesseeRemoteCredit Acceptance offers our team members in the sales department: Uncapped earning potential with a base salary and uncapped monthly performance-based commission, total compensation depends on the impact you make in your market. We continuously strive to meet our company goals by increasing quality dealer enrollments, building relationships, and consulting with our dealers on how to improve their business.
Assistant Property Manager S2 ResidentialAssistant Property ManagerNashville, TennesseeIn Property Managers absence, Assistant Property Manager aids in monitoring staff for the successful operation of the community. Property Name: How you’ll make an impact : Support and work with the Property Manager to ensure the overall operational and financial success of the community.
Account Manager - Pinnacle At Symphony Garage Nashville, TN Towne Park Ltd.Account Manager - Pinnacle At Symphony Garage Nashville, TNNashville, TN$54,700–$82,100 / yearThe associate is regularly required to run; stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk and hear. Whether providing compassionate service that eases the anxiety of a patient and their family, creating a memorable experience for a guest in a new city, or helping a colleague, every day is a new opportunity to brighten someone else's day and make an impact.
GPR Project Manager - Nashville, TN Ground Penetrating Radar Systems LLCGPR Project Manager - Nashville, TNNashville, TNFor over two decades, GPRS has been the industry leader by providing outstanding service and cutting edge technology, Intelligently Visualizing The Built World by keeping projects on time, reducing safety risks, and putting our relationships with our clients before profit. Drive and ability to learn how to use GPR and other equipment to complete locating projects - we have the experts and a state-of-the-art facility to teach you, we need to know you want to learn new skills and have the drive for safety and excellence in everything you do.
Property Manager III Metropolitan Government of Nashville and Davidson CountyProperty Manager IIINashville, TN$71,006–$81,030 / yearStrong verbal/written communication skills, ability to establish and maintain effective working relationships with peers, superiors, residents, community service agencies, and the public, ability to manage multiple priorities and multiple demands to accomplish tasks in accordance with established requirements, must have the ability to perform a variety of tasks simultaneously in an accurate and timely manner; considerable skill in problem solving, conflict resolution, and dealing with confidential information/situations. consults with Human Resources; Monitor performance of subordinates through periodic inspections of properties and information reports; Review and approve time and leave reports for assigned staff, and approve leave requests; Conduct or coordinate training programs for all new employees, and periodic training for other employees; Coordinate staffing with the Area Property Manager, Director and/or Assistant Director for Property Manage to assure that.
Assistant Community Manager - Fallyn Education Realty Trust Inc (Inactive)Assistant Community Manager - FallynNashville, TN$24–$26 / hourThis role supports and assists the Community Manager in overseeing and managing the financial and operational facets of the community by completing accounting and bookkeeping tasks, preparing monthly close-out and financial reports, processing invoices for payment, collecting rent, fees, and other payments, completing bank deposits, dispositions, and account reconciliations, and using the property management software to record, track, and report on all financial workings of the community. 1-3 years minimum of relevant experience in residence life and/or property management that demonstrates the application of community management, sales, marketing, and customer service background sufficient to assist in managing the day-to-day operations of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team.
NewAssistant Community Manager - The Station by Alta Education Realty Trust Inc (Inactive)Assistant Community Manager - The Station by AltaNashville, TN$22–$24 / hourThis role supports and assists the Community Manager in overseeing and managing the financial and operational facets of the community by completing accounting and bookkeeping tasks, preparing monthly close-out and financial reports, processing invoices for payment, collecting rent, fees, and other payments, completing bank deposits, dispositions, and account reconciliations, and using the property management software to record, track, and report on all financial workings of the community. 1-3 years minimum of relevant experience in residence life and/or property management that demonstrates the application of community management, sales, marketing, and customer service background sufficient to assist in managing the day-to-day operations of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team.
Assistant Community Manager - Broadstone SoBro Education Realty Trust Inc (Inactive)Assistant Community Manager - Broadstone SoBroNashville, TN$23–$26 / hourThis role supports and assists the Community Manager in overseeing and managing the financial and operational facets of the community by completing accounting and bookkeeping tasks, preparing monthly close-out and financial reports, processing invoices for payment, collecting rent, fees, and other payments, completing bank deposits, dispositions, and account reconciliations, and using the property management software to record, track, and report on all financial workings of the community. 1-3 years minimum of relevant experience in residence life and/or property management that demonstrates the application of community management, sales, marketing, and customer service background sufficient to assist in managing the day-to-day operations of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team.
Commercial - Fuel Supply Manager Wallis CompaniesCommercial - Fuel Supply ManagerNashville, TNSecond, the Fuel Supply Manager is responsible for managing a portfolio of strategic accounts across multiple geographies resulting in maximum profitability and volume and securing new business with existing and new customers through inside and outside sales efforts and designated markets. Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state-of-the-art practices, participating in professional societies, etc.
Assistant Manager Metropolitan Government of Nashville and Davidson CountyAssistant ManagerNashville, TN$52,020–$58,685 / yearAbility to effectively lead and manage to maximize the performance of property personnel; thrive under pressure in a fast paced environment; self-directed with the ability to successfully solve problems independently; be fiscally responsible, ability to make sound decisions, establish and maintain good working relationships with others; strong analytical abilities, detailed oriented, ability to manage ever changing priorities (multi- task); communicate well with others (oral and written) with good organizational skills; able to give and receive constructive criticism, and ability to embrace change. Under the direct supervision of the Property Manager; is responsible for providing assistance/support throughout the MDHA property portfolio in the absence of a property manager; provides administrative support, management, direction and leadership to ensure the assigned property(or properties) is maintained, meets expected results, and operated in accordance with MDHA affordable housing and HUD rules and regulations.
Property Manager I Metropolitan Government of Nashville and Davidson CountyProperty Manager INashville, TN$55,822–$63,519 / yearAbility to effectively lead and manage to maximize the performance of property personnel: thrive under pressure in a fast paced environment; self-directed with the ability to successfully solve problems independently; be fiscally responsible, ability to make sound decisions, establish and maintain good working relationships with others; strong analytical abilities, detailed oriented, ability to manage ever changing priorities (multi- task); communicate well with others (oral and written) with good organizational skills; able to give and receive constructive criticism, and ability to embrace change. The Property Manager is responsible for leading, planning, directing and overseeing the management operations for one or more of the agency properties; managing the properties in an efficient, cost-effective manner, in compliance with applicable rules and regulations; and providing a quality, well-maintained housing community for the residents.
Community Manager Education Realty Trust Inc (Inactive)Community ManagerBrentwood, TN$85,000–$90,000 / year4-6 years minimum of relevant experience that demonstrates the application of property management, sales, marketing, and customer service background sufficient to manage the day-to-day operation of an apartment community, resolve customer complaints and issues, complete financial records, documents, and reports, increase sales revenues, and coordinate the work of a team Ability to manage multiple priorities in a fast-paced environment. Approves invoices from vendors, contractors, and service providers for payment by reconciling work performed or products purchased, ensuring validity of certificates of insurance, coding charges to appropriate Chart of Account codes, and managing communication between the vendor/contractor, accounting, and the client/owner as needed.
Photography Manager - Nashville, TN CoStar GroupPhotography Manager - Nashville, TNNashville, TennesseePartner with internal teams, including logistics, sales, customer support, training, and product stakeholders, to coordinate appointments, address client needs, escalate issues, and ensure seamless service delivery. This role combines people leadership, operational oversight, technical expertise, and exceptional customer service to ensure clients receive best-in-class media for their residential and commercial listings.
Rare Disease Account Manager Cycle PharmaceuticalsRare Disease Account ManagerNashville, TennesseeRemoteHaving the opportunity to participate in a range of company projects, you will leverage your transferable skills across projects aligned to market access, product launches, patient services and marketing. Create awareness about Cycle Pharma treatment options and the services that can be provided to support both HCPs and patients, through physician, nurse and office-based selling and promotional activity.