NewChild Care Assistant Director The Learning Experience - AhwatukeeChild Care Assistant DirectorPhoenix, AZFull timeWhat We Offer: State-of-the-Art Classrooms: Our immersive classroom setting utilizes the latest technology, materials, and resources to allow children to “learn, play, and grow.”. As an Assistant Center Director, you are passionate for creating a happy and safe space that ensures our little learners have the best environment to Learn, Play, Grow.
Event Manager The Salvation Army USAEvent ManagerPhoenix, AZAttend networking events and participate in community groups that will expose TSA to beneficial relationships for event; consistently explore ways to create partnerships with local businesses and vendors to enhance events for potential fundraising and promotional opportunities. Build good working relationships with Corps Officers, Advisory Board (Council) members, program directors, volunteers, and other supporters/potential supporters.
Full-Time LPN PACS GroupFull-Time LPNSun City, ArizonaDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Registered Nurse PACS GroupRegistered NurseSun City, ArizonaDevelop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and jobrelated functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Assistant Manager Baskin-RobbinsAssistant ManagerChandler, AZWhile assigned to specific shifts, the Assistant Manager, is responsible for management of the processes and people needed to deliver great and friendly guest experience during their assigned shift. The Assistant Manager role is a deliberate stepping stone to prepare an individual that is already highly competent at running shifts for the additional management responsibilities of running the entire store as the Restaurant Manager.
Senior Administrative Assistant - Mid Corporate Global Payments & Liquidity Wells Fargo & CoSenior Administrative Assistant - Mid Corporate Global Payments & LiquidityChandler, AZ$28.85–$48.08 / hourThey are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. Providing a high level of professional support which includes a balance of more experienced level administrative work as well as ongoing ad hoc and project or business initiatives such as planning meetings, tracking deliverables, and pulling routine reports.
ADMINISTRATIVE ASSISTANT III State of ArizonaADMINISTRATIVE ASSISTANT IIIPhoenix, AZAny employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver's license, complete all required training, and successfully pass all necessary driver's license record checks. The Arizona Department of Corrections, Rehabilitation & Reentry (ADCRR) is looking for a Full-Time Administrative Assistant III who completes special projects as requested by the Deputy Warden/Associate Deputy Warden/Administrator.
FINANCIAL AFFAIRS ASSISTANT DIRECTOR State of ArizonaFINANCIAL AFFAIRS ASSISTANT DIRECTORPhoenix, AZ$112,000–$129,000 / yearWork includes developing and implementing through subordinate managers program mission, goals, objectives, performance measurements, rules, policies, procedures and systems; developing and advocating agency policy concerning consumer protection and solvency oversight; coordinating regulatory efforts with other Insurance Department divisions, other state and federal agencies, other state insurance departments, law enforcement agencies, providing consultation to the director, deputy director, and agency personnel; providing guidance and assistance to staff concerning compliance with regulatory filings and solvency oversight; maintaining compliance with NAIC Accreditation; responding to inquiries from the Governor''s Office, legislature, National Association of Insurance Commissioners, other Arizona state agencies, and other state insurance department; and, participating in committees, task forces, working groups, advisory group as appointed by the director. The Department also helps resolve consumer complaints against financial-services and insurance entities; takes action in response to violations of law; encourages competition, innovation, and economic development; collects taxes and assessments that support State government operations; combats auto theft and insurance fraud through public awareness campaigns, and funding for law enforcement and dedicated prosecutors.
Assistant Health Services Administrator (Ahsa) - Notional Acuity InternationalAssistant Health Services Administrator (Ahsa) - NotionalPhoenix, AZ, AZThe Assistant Health Service Administrator supports senior managers in running a healthcare facility by performing duties such as scheduling staff, assisting with budgets, monitoring compliance, and coordinating daily operations. Minimum of 5 years of progressive leadership experience in healthcare administration, preferably in correctional, detention, military, or government-contracted healthcare environments.
Assistant Project Manager II Quanta Infrastructure Solutions Group, LLCAssistant Project Manager IIScottsdale, ArizonaFull time2+ years of construction project experience, including various aspects of construction planning and management including, but not limited to engineering, estimating, bidding, preparing, and administering purchase orders and subcontracts, scheduling, cost control, document control, etc. The QISG team brings together Engineering, Safety, Quality, Material Procurement, QA/QC, Right-of-Way Acquisition, Scheduling, Environmental Planning, Permitting, Title and Land Management expertise that ensure outstanding results for our clients.
Clinical Assistant Hanger, Inc.Clinical AssistantSun City, AZThe supervisor must: be physically on site or be available in real-time via audio and visual technology while the care is being provided, perform a real-time visual assessment of the care provided to the patient, review the documentation of the services rendered by the supervised individual, and countersign all entries by the caregiver in the patient’s clinical record within 15 days. The supervisor is the designated individual credentialed by a nationally recognized Orthotic, Prosthetic and Pedorthic certifying board, or is licensed, who oversees and is solely responsible for the delivery of appropriate, effective, ethical and safe orthotic, prosthetic and/or pedorthic patient care.
Audit Manager State of ArizonaAudit ManagerPhoenix, AZRemote$100,000–$110,000 / yearThis individual will provide assistance and guidance to subordinates, as well as, executive management, and support the Inspector General (IG) efforts on a variety of administrative and management issues, projects and initiatives, data analytics, related to investigations of healthcare fraud and program mismanagement. (d) Other limitations for FFP rate for skilled professional medical personnel and directly supporting staff - (ii) The skilled professional medical personnel have professional education and training in the field of medical care or appropriate medical practice.
LVN/LPN Sun City Post AcuteLVN/LPNSun City, AZPart timeDevelop and maintain a good working rapport with inter departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
NewMedical Assistant OrthoArizonaMedical AssistantChandler, ArizonaWhether you are an entry-level professional ready to embark on a fulfilling healthcare journey or a seasoned expert seeking a new challenge, OrthoArizona offers unparalleled opportunities for growth and impact at a variety of locations across the Valley. Medical Assistant About OrthoArizona: Dedicated to serving the Greater Phoenix community since 1994, OrthoArizona is the largest and most accomplished physician-owned orthopedic and musculoskeletal care group in Arizona.
Assistant Project Manager Holder ConstructionAssistant Project ManagerPhoenix, ArizonaHolder Construction is a nationally recognized leader in the construction industry, consistently ranked among the top firms on ENR’s Top 400 Contractors list. Manage cost control and issue resolution, including change orders, RFIs, and proactive identification of potential risks.
NewLegal Assistant I Gila River DevelopmentLegal Assistant IChandler, AZFull timeRequired Qualifications:• High School diploma or GED.• Minimum of three (3) years of experience as a Legal Assistant, Legal Secretary, or similar clerical role within a law office or legal environment with familiarity in legal procedures.• Summary: The Legal Assistant I will provide comprehensive legal support to the organization's Staff Attorney, ensuring the efficient operation of legal processes and the accurate management of case files.
Physician Assistant or Nurse Practitioner - Vein Vascular Clinic Center for Orthopedic Research and EducaPhysician Assistant or Nurse Practitioner - Vein Vascular ClinicGilbert, AZ$110,000–$250,000 / yearPart timeThe practice utilizes unique and powerful clinical quality and healthcare analytics platforms along with expert-led Medical Economics and operational excellence teams to develop, deploy and lead advanced MSK value-based care activities across the region which have proven to create true practice differentiation with improved quality outcomes and lower costs of care. The expert care is delivered across more than 25 clinical sites including state-of-the-art clinics, physical therapy, imaging, procedure & ambulatory surgical facilities and specialty hospitals all with dedicated teams and expert leaders focused solely on the delivery of excellent MSK care.
Aesthetic Physician Assistant Skin CliqueAesthetic Physician AssistantMesa, AZSkin Clique plugs you into a nationwide network, handles the operational side, and gives you a framework to grow - whether you're just starting in aesthetics or you're an experienced injector ready to expand. Whether you're new to aesthetics and looking for a supported entry point, or you're an experienced provider ready to grow — there's a path here for you, including the option to expand into brick-and-mortar down the road.
Occupational Medicine - Phoenix Fire Department - Physician Assistant Position Banner HealthOccupational Medicine - Phoenix Fire Department - Physician Assistant PositionPhoenix, AZThis is a remarkable opportunity to join a large, multistate occupational health program and add your knowledge and skill to our collegial team of Board Certified Occupational Medicine Physicians, Advanced Practice Providers and amazing support staff. Banner Occupational Health and Wellness, a dedicated full-service occupational health provider, is looking for a dynamic Physician Assistant to help us grow our services in the Phoenix Metro Area, in partnership with the Phoenix Fire Department.
Doctor Assistant (Scribe), Emergency Veterinary Hospital Ethos Veterinary HealthDoctor Assistant (Scribe), Emergency Veterinary HospitalPhoenix, AZFull timeOur high-volume 24-hour Emergency Veterinary Hospital in Phoenix, Arizona is looking for experienced Veterinary Doctor Assistant to join our team! We operate 24-hours a day, seven days a week, to provide comprehensive and compassionate emergency and critical care for animals.
Urology Physician Assistant (PA) / Nurse Practitioner (NP) OMEGA Recruiting and ConsultingUrology Physician Assistant (PA) / Nurse Practitioner (NP)Phoenix, ArizonaImmediate need for a couple Physician Assistants or Nurse Practitioners to join a Multi Spec group in a Urology setting. Establish working diagnoses and develop treatment plans in collaboration with urologists.
Administrative Assistant - Scottsdale Fashion Square The Macerich CoAdministrative Assistant - Scottsdale Fashion SquareScottsdale, AZKey responsibilities include managing tenant and vendor databases, coordinating reports and lease documentation, supporting marketing initiatives, and assisting with event planning and communication. The ideal candidate brings strong organizational skills, excellent communication, proficiency in Microsoft Office and Yardi, and a customer-focused mindset.
Legal Assistant I Encore Capital Group IncLegal Assistant IPhoenix, AZResponsible for a variety of administrative legal functions including manual and electronic filing of legal documents, telephone interaction with court staff, supporting tasks in the electronic system of record ILMS, and liaising with in-house attorneys to facilitate the review and execution of documents. We offer a wide array of wellness and mental health initiatives, support volunteerism, and environmental efforts, encourage employee education through leadership training, skill-building, and tuition reimbursements, and always strive to provide promotion opportunities from within.
Assistant, People and Office Operations TicketManagerAssistant, People and Office OperationsMesa, AZFull timeWe’re also proud to partner with some of the most iconic teams and venues in sports and entertainment, including the New York Jets, Philadelphia Eagles and Phillies, Capital One Arena, Texas Rangers, LAFC, and Seattle Seahawks, along with more than 50 professional and collegiate teams, franchises, universities, and technology providers. TicketManager is trusted by thousands of global brands, including Anheuser-Busch, Verizon, American Express, Nike, and Visa, as well as Fortune 500 companies, professional sports leagues, and major organizations such as the NBA, NFL, NCAA, and NASCAR.
Medical Assistant American Oncology Network IncMedical AssistantCasa Grande, AZ$17.24–$28.75 / 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. Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
Medical Assistant Trainee - Float One Medical of NY, PCMedical Assistant Trainee - FloatGilbert, AZWhat you'll likely work on from day one: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. Continue to care for our members beyond the lab room by answering patient messages, following up on lab cases and assisting our providers and virtual medical team with clerical duties such as, but not limited to medical record and consult review, billing inquiries, and DOH reporting.
NewCertified Occupational Therapy Assistant (COTA) AccelCertified Occupational Therapy Assistant (COTA)Phoenix, AZFull timeUnder the supervision of a licensed Occupational Therapist, the COTA will assist in implementing individualized treatment plans designed to help children and patients improve functional skills, independence, and participation in daily activities. Help students/clients respond constructively to intervention and treatment within either the school or clinic setting, and to facilitate the transition back into the school district or other setting.
NewAdministrative Assistant StewartAdministrative AssistantScottsdale, ArizonaReviews project requirements, identifies interdependencies with internal or external departments or service providers, delegates responsibilities, and ensures that work is completed as needed.. As a Stewart employee, you’ll be joining a company that was named a 2024-2025 Best Company to Work For by U.S. News & World Report, and a 2025 Top Workplace by USA Today.
NewASSISTANT CASE MANAGER-CASE AIDE State of ArizonaASSISTANT CASE MANAGER-CASE AIDEAvondale, AZThe Arizona Department of Child Safety (DCS) is a social and human services agency whose mission is to successfully partner with families, caregivers, and the community to strengthen families, ensure safety, and achieve permanency for all Arizona's children through prevention, services, and support. Should you have any further questions regarding the interview process you can reach out to a member of our recruitment team at 602-255-2903 or by email at recruiting@azdcs.gov.
Certified Nursing Assistant (CNA) PACS Group IncCertified Nursing Assistant (CNA)Chandler, AZ$16–$19 / hourPosition Summary: As a Certified Nursing Assistant (CNA), you will provide direct care to residents, supporting their daily needs while promoting dignity, comfort, and quality of life. Our team is driven by compassion and dedication, and we're looking for Certified Nursing Assistants (CNAs) who want to make a difference every day.
Travel Certified Occupational Therapist Assistant (COTA) - $1,151 to $1,187 per week in Phoenix, AZ Pioneer Healthcare ServicesTravel Certified Occupational Therapist Assistant (COTA) - $1,151 to $1,187 per week in Phoenix, AZPhoenix, AZ$1,150.91–$1,186.51Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities. Experience unparalleled support from our award-winning team, available 24/7, as you transition into your dream role.
Foot and Ankle Nurse Practitioner/Physician Assistant Center for Orthopedic Research and EducaFoot and Ankle Nurse Practitioner/Physician AssistantPhoenix, AZ$110,000–$250,000 / yearPart timeProvides acute and chronic patient care including taking histories, doing physicals, monitoring therapies, giving injections and medications, suturing wounds. Skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention, or referral.
NewCOMMUNITY SKILLS/PERSONAL ASSISTANT RE-ADVERTISED 2026-2027 SCHOOL YEAR (4818) Phoenix Union High School DistrictCOMMUNITY SKILLS/PERSONAL ASSISTANT RE-ADVERTISED 2026-2027 SCHOOL YEAR (4818)Phoenix, AZSupports the relationship between the Phoenix Union High School District and the public by demonstrating courteous and professional behavior when interacting with students, parents, visitors, and school staff; maintains absolute confidentiality of work-related issues, client records, and school information; follows Governing Board Policies; performs all other related duties as required or assigned. High School diploma or GED equivalent; AND two years of classroom experience or experience working with special needs children; OR an equivalent combination of education, training, and experience.
Travel Certified Occupational Therapist Assistant (COTA) - $1,527 to $1,574 per week in Chandler, AZ Pioneer Healthcare ServicesTravel Certified Occupational Therapist Assistant (COTA) - $1,527 to $1,574 per week in Chandler, AZChandler, AZ$1,526.89–$1,574.11Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities. Experience unparalleled support from our award-winning team, available 24/7, as you transition into your dream role.
Executive Assistant I Airetel Staffing, IncExecutive Assistant IPhoenix, AZRemoteThey should have strong judgment, professionalism, communication skills, and experience supporting senior leaders in a large global company. This Executive Assistant role will support two Vice Presidents within the Web & Mobile Engineering Team, along with their global organizations.
Certified Nursing Assistant (CNA) Desert Cove Nursing CenterCertified Nursing Assistant (CNA)Chandler, ArizonaWe are affiliated with Life Care Centers of America, which is a privately owned 47-year industry leader in healthcare with more than 200 locations across the U.S. We are currently seeking a qualified Certified Nursing Assistant (C N A) to add to our team of professionals. Life Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance.
Medical Assistant Cardiology Banner HealthMedical Assistant CardiologyScottsdale, ArizonaActive Medical Assistant certification such as: Registered Medical Assistant (RMA) with proof of current membership from American Medical Technologists (AMT) or Certified Medical Assistant (CMA) with proof of current membership from American Association of Medical Assistants (AAMA) or Certified Clinical Medical Assistant (CCMA) with proof of current membership from National Health Career Association (NHA) (Test administered after 7/1/2017 only) or National Certified Medical Assistant (NCMA) with proof of current membership from National Certified Competency Testing (NCCT). 2. Assists providers with exams and minor in-office procedures which could include taking patients’ blood pressure, documenting respiration and heart rate/pulse, taking temperature, as well as performing phlebotomies, ear irrigation and EKG’s.
Veterinary Technician Assistant - AZ - Large Animal Clinic - College Of Veterinary Medicine Midwestern UniversityVeterinary Technician Assistant - AZ - Large Animal Clinic - College Of Veterinary MedicineGlendale, AZMore than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. The Veterinary Technician Assistant supports the Large Animal Clinic of the Animal Health Institute by providing high-quality patient care, husbandry support, clinical assistance, and student support for equine, bovine, small ruminant, and porcine patients.
Physician Assistant/Clinical Instructor- Arizona College Of Osteopathic Medicine Midwestern UniversityPhysician Assistant/Clinical Instructor- Arizona College Of Osteopathic MedicineGlendale, AZMore than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.
Veterinary Technician Assistant - AZ - Large Animal Clinic - College of Veterinary Medicine Midwestern UniversityVeterinary Technician Assistant - AZ - Large Animal Clinic - College of Veterinary MedicineGlendale, AZPart timeMore than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. The Veterinary Technician Assistant supports the Large Animal Clinic of the Animal Health Institute by providing high-quality patient care, husbandry support, clinical assistance, and student support for equine, bovine, small ruminant, and porcine patients.
Medical Assistant UnitedHealth Group IncMedical AssistantGilbert, AZ$16–$29 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. This position will also be responsible for providing technical clinical services and clerical support for the delivery of quality patient care as directed by licensed staff, a physician, or a mid-level practitioner.
Substitute Health Assistant Maricopa Unified School District 20Substitute Health AssistantMaricopa, AZAssists with the enrollment of students, reviews all immunizations prior to the student attending school, and consults nurse as needed. Assists nurses with the administration of medications in accordance with district policy and the Nurse Practice Act.
Medical Office Assistant - Cardiology IMS Care CenterMedical Office Assistant - CardiologyAvondale, ArizonaMust have one of the following: Certified Nursing Assistant (CNA) Certification, Registered Medical Assistant, Emergency Room or Emergency Medical Technician certification, or minimum of 2-5 years of medical assisting experience. Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care.
Certified Nursing Assistant (CNA) Healthcare Outcomes Performance CompanyCertified Nursing Assistant (CNA)Phoenix, ArizonaFosters a positive and professional hospital environment by interacting with all persons in a considerate, helpful and courteous manner and by participating as a team member. Has successfully complete required competencies required of position and various tasks as assigned by the nurse lead or designee and according to policy.
Medical Assistant Float IMS Care CenterMedical Assistant FloatPhoenix, ArizonaProvides clerical support with patient/client notification and documentation, to include but not limited to complete medical records including labs, authorizations, X-Rays, hospital records and any previous care pertaining to each patient visit. Coordinates and manages patient care including pre-certifications, referrals, authorizations, prescriptions and scheduling of patients for clinic, hospital and other ancillary medical treatments and tests.
Certified Nursing Assistant - Aleca Hospice Home Aide - PRN AlumusCertified Nursing Assistant - Aleca Hospice Home Aide - PRNMesa, Arizona$18–$25 / hourThe Certified Nursing Assistant for Hospice is a paraprofessional member of the interdisciplinary group who works under the supervision of a registered nurse and performs various services for a patient as necessary to meet the patient’s personal needs and to promote comfort. Join a company that sees a better way for healthcare by being patient advocates, following evidenced-based clinical practices, caring for people holistically, improving continuity of care and providing nurturing surroundings that encourage and inspire.
Health Assistant - Roving Maricopa Unified School District 20Health Assistant - RovingMaricopa, AZAssists with the enrollment of students, reviews all immunizations prior to the student attending school, and consults nurse as needed. Assists nurses with the administration of medications in accordance with district policy and the Nurse Practice Act.
Executive Assistant ScaleJetExecutive AssistantGlendale, ArizonaPersonal Support: Efficiently handle any other tasks as needed to support the CEOs role and contribute to the success. - Email Management: Skillfully respond to non-urgent emails and ensure relevant messages reach the right recipients.
Assistant Property Manager Newmark Group IncAssistant Property ManagerPhoenix, AZResponsible for prompt and positive response to requests from property tenants, for the implementation of ongoing contact programs, to constantly assess tenant needs and to assure problems are being solved promptly, and to the mutual benefit of the tenant and the properties. In addition to base salary and a competitive benefits package, this position may be eligible for additional types of compensation including discretionary bonuses and other short- and long-term incentives (e.g., deferred cash, equity, etc.).
Certified Occupational Therapy Assistant-FT or PT Therapy TreeCertified Occupational Therapy Assistant-FT or PTGlendale, AZOur therapists use motivating and fun activities to encourage children, capture their interest, and provide successful and motivating experiences in order to help children to progress in their skills and to develop a love for learning and a strong self-esteem. Therapy Tree is seeking a Certified Occupational Therapy Assistant to join a team of highly qualified and passionate therapists that seek to make a meaningful and lasting impact in the lives of children.