NewMedical Gas Project Manager JobotMedical Gas Project ManagerDeltona, FL$100,000–$170,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Job Details: We are on the hunt for a passionate, experienced, and highly-skilled Medical Gas/ Plumbing Project Manager to join our dynamic team in the construction industry.
NewAdmin Project Manager III - Contract TalentBurst, Inc.Admin Project Manager III - ContractMerritt Island, FLThe ideal candidate will serve as a key liaison between leadership, internal teams, and external stakeholders, driving projects from initiation through completion while maintaining clear communication, accountability, and operational excellence. We are seeking an experienced Administrative Project Manager to lead and coordinate strategic initiatives in a fast-paced, high-growth environment.
Store Manager - Spencer's Spencer Gifts - Spirit HalloweenStore Manager - Spencer'sMerritt Island, FL$21–$21.25 / hourFull timeThe Store Manager oversees and is accountable for the operation of a store, ensuring maximum sales and profitability through controlling expenses, shrinkage, human resources management 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.
MCO Assistant Manager CovenantMCO Assistant ManagerOrlando, FL$55,000–$60,000This position serves as a key member of the airport leadership team and is responsible for supporting a 24/7 operation through employee supervision, training, quality assurance, compliance monitoring, customer service, and operational readiness. Through its commitment to safety, compliance, operational excellence, and customer service, CAS provides comprehensive security and screening services for airports, airlines, and government agencies across the United States.
Cultural Resource Manager Scientific Research CorporationCultural Resource ManagerCape Canaveral, FLSkill to integrate an interdisciplinary team of professionals to include attorneys, public health specialists, public affairs specialists, biological scientists, environmental engineers, physical scientists, general engineers, community planners, regulators, other governmental officials, and community groups. Executing short-term and long-term goals and objectives of the Cultural Resources Program and also priorities to support the Integrated Cultural Resources Management Plans (ICRMP) utilizing available resources.
Human Resources Manager United Way WorldwideHuman Resources ManagerRockledge, FLFor descrption pls check this url https://careers.unitedway.org/jobs/job/early-literacy-fellow-2-positions-available-53528.
People Services Manager (Human Resources Department) Lake Nona Wave HotelPeople Services Manager (Human Resources Department)Orlando, FloridaFull timeSupport our team members by providing coaching, counseling, and disciplinary actions when necessary, while also administering associate benefits and open enrollment to help our team members feel valued and supported. Responsibilities: In partnership with the People Services Director, oversee the day-to-day operations of the People Services operation for multiple business units by ensuring we continue to attract, develop, and retain the best talent in the industry.
SUPERVISORY HUMAN RESOURCES SPECIALIST (MILITARY) United States Air ForceSUPERVISORY HUMAN RESOURCES SPECIALIST (MILITARY)Patrick AFB, FL$34,799–$82,938 / yearSpecialized experience must include Knowledge of and skill in applying a wide range of military personnel principals, policies, practices, analytical, diagnostic techniques, concepts, legal requirements, and methodology to gather facts, respond to questions, ensure regulatory compliance and provide advisory services to solve a wide range of complex military personnel problems and issues. ACTIVE DUTY SERVICE MEMBERS: The VOW Act requires federal agencies to treat an eligible active duty service member as a veteran, disabled veteran, and preference eligible (as applicable) when applying for civil service positions before the effective release or discharge date.
Human Resource Business Partner Otg Management IncHuman Resource Business PartnerOrlando, FL$60,000–$70,000 / yearThis role sits at the intersection of talent, operations, and financial performance, ensuring the organization has the workforce, leadership capability, and culture required to scale and succeed. The HR Business Partner is a strategic advisor to operations leadership, responsible for translating business strategy into actionable people strategies that drive measurable outcomes.
Senior Human Resources Generalist Next Level GroupSenior Human Resources GeneralistCape Canaveral, FL$0.01–$0.02You’ll work closely with managers and employees across the site, building strong relationships and ensuring HR initiatives align with business needs. This role is a mix of strategic HR leadership and hands-on support, driving employee engagement, retention, and organizational effectiveness.
Natural Resource Biologist Scientific Research CorpNatural Resource BiologistCape Canaveral, FLInspecting and evaluating reliability, flexibility, and maintainability of existing environmental equipment and systems and identifies deficiencies for incorporation into the base comprehensive asset management plan (BCAMP) and environmental sub-AMPs; performs analysis, interprets, deviates or extends traditional methods to resolve industrial equipment or systems unsatisfactory performance problems where precedents are not applicable; and determines and prepares cost estimates for maintenance, repair, upgrades, and replacement. Coordinating with other expert personnel at installation organizations, municipal planning offices, sister services, regulatory agencies, and private organizations to evaluate recommended courses of action and solve complex environmental problems related to a variety of land uses involving conflicting factors such as mission and environmental impact.
HUMAN RESOURCES OFFICER United States Air ForceHUMAN RESOURCES OFFICERPatrick AFB, FL$107,446–$164,301 / yearACTIVE DUTY SERVICE MEMBERS: The VOW Act requires federal agencies to treat an eligible active duty service member as a veteran, disabled veteran, and preference eligible (as applicable) when applying for civil service positions before the effective release or discharge date. VOLUNTEER WORK EXPERIENCE: Refers to paid and unpaid experience, including volunteer work done through National Service Programs (i.e., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student and social).
NewSr. Human Resources Compliance Specialist Blue OriginSr. Human Resources Compliance SpecialistTitusville, FL$134,434–$188,207.25 / yearand/or transports placardable amounts of hazardous materials by ground in any vehicle on a public road while in commerce, may be subject to additional Federal Motor Carrier Safety Regulations including: Driver Qualification Files, Medical Certification (obtained before onboarding), Road Test, Hours of Service, Drug and Alcohol Testing (CDL drivers only), vehicle inspection requirements, CDL requirements (if applicable) and hazardous materials transportation/shipping training. This role demands exceptional Program Management leadership skills to coordinate cross-functional teams globally, strategic thinking to align talent programs with Blue Origin's mission, and the ability to influence at the executive level—positioning Blue Origin as the premier destination for aerospace talent and advancing humanity's journey to space.
Financial Resource Counselor Parrish Medical CenterFinancial Resource CounselorTitusville, FLAlso responsible for explaining our services and cost, appointment scheduling, insurance verification, collection of co-pays, explaining our sliding fee schedule, collecting financial and demographic information, and patient follow up calls. Responsible for meeting Emergency Room patients, verifying their Primary Care physician, and offering the services of Space Coast Health Centers.
Senior Human Resources Generalist Morton Salt IncSenior Human Resources GeneralistCape Canaveral, FLThis highly visible role blends strategic leadership with day-to-day HR operations, supporting a diverse workforce, coaching supervisors and employees, conducting investigations, driving engagement, and ensuring compliance. Participates in various activities related to employee relations, including workers' compensation cases and conflict resolution, providing counseling to managers and employees of low to high complexity, and conducting interviews (follow-up, exit, and others).
Targeted Case Manager Childrens Home Society of FloridaTargeted Case ManagerCocoa, FLPart timeYou'll work directly with youth experiencing serious emotional and behavioral challenges, helping families navigate complex systems, access services, and create pathways toward stability and success. Overall, the Targeted Case Manager contributes to the CHS high-performance culture by exhibiting our values and providing quality results that keep CHS as the premier provider of child, family, and behavioral health support services.
Behavioral Health Case Manager CHILDRENS HOME SOCIETY OF FLORIDA, THEBehavioral Health Case ManagerOrlando, FLOverall, the Behavioral Health Case Manager contributes to the CHS high-performance culture by exhibiting our values and providing quality results that keep CHS as the premier provider of child, family and behavioral health support services. Youll work directly with youth experiencing serious emotional and behavioral challenges, helping families navigate complex systems, access services, and create pathways toward stability and success.
NewGeneral Manager I Avolta AGGeneral Manager IOrlando, FL$54,495–$64,946 / yearMinimum Qualifications, Knowledge, Skills, and Work Environment: GMIs must have documented and demonstrated skills managing the types of restaurants (QSR, Casual Dine, Full Service, similar complexity, Union and Non-Union, etc.) to which the role is assigned, to include overall responsibility for success and failure of the restaurant under their leadership as identified by P&L success for multiple annual cycles for the type or restaurant assigned. The GMI position is expected to work a varied and rotating schedule to be on site at various operating days and hours each week; some opening shifts, during some busy dayparts, and during some closing shifts to monitor restaurant associates' work activities during these different days and times.
Engineering Project Manager Salas O'Brien Engineers IncEngineering Project ManagerMerritt Island, FL$70,000–$105,000 / yearOur specialized experience includes design for data centers, healthcare, science and technology, high-rise buildings, clean energy, education, and other building types as well as structural and building sciences, infrastructure asset management, advanced robotics, and more. Job Summary: The Engineering Project Manager is a member of the technical staff and fills a pivotal role as a design team leader who effectively manages schedule, budget, and technical scope to reduce risk and manage dynamic and changing projects.
Project Manager / Site Civil Engineer - Community Development CPHProject Manager / Site Civil Engineer - Community DevelopmentSanford, Florida$98,000–$128,000 / yearThese projects are for a variety of clients locally, regionally, and throughout the U.S. Projects include parks and recreation, operations and public works complexes, public safety, education and institutional projects, airport facilities, and localized and regional drainage systems. In this role, you’ll lead and work on projects that are designed by CPH’s Community Development Team with a focus on the site civil aspects of the design including site layout, grading, drainage, utilities, construction plan preparation, and permitting.
NewEquipment Maintenance Section Manager SkyWater Technology FoundryEquipment Maintenance Section ManagerKissimmee, FL$94,720–$142,080 / yearHighly desirable for a candidate to have a background in at least one of the following areas: Wafer Dicing/Grinding/Singulation, Photolithography, PVD and/or CVD Thin Films, Dry Etch, Wet Etch /Wafer Clean, Diffusion, Bond, Electroplate (ECD), CMP, or Metrology, Probe/Test (some areas may be combined). Provide technical leadership and management of 200MM and 300MM Semiconductor processing equipment in Support of Advanced Packaging processes including Fan Out Wafer Level Packaging, Interposers, Hybrid Wafer to Wafer bonding, and Die to Wafer Bonding.
Environmental Project Manager Trilon GroupEnvironmental Project ManagerMerritt Island, FLThe EPM will oversee planning, execution, and delivery of environmental projects including the preparation of NEPA documents and cultural resource investigations in support of Space Force missions, ensuring compliance with all applicable federal, state, and local regulations. Prepare and review technical reports, including cultural resource assessments, archaeological survey reports, and environmental documentation.
Federal Project Manager Trilon GroupFederal Project ManagerMerritt Island, FLThe Government Project Manager for Space Launch Delta 45 (SLD 45) is responsible for managing a wide range of defense-related infrastructure projects. The Government Project Manager must navigate the challenges and complexities of defense projects, which often involve advanced technology, sensitive information, and security implications.
General Manager IHOPGeneral ManagerCocoa, FLThe employee frequently is required to use hands to grasp, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, talk or hear; and taste or smell. Execute annual financial, local restaurant marketing, guest service, and human resource objectives, strategies and tactics for assigned unit.
NewService Manager Tesla IncService ManagerMerritt Island, FLThey act as brand ambassadors, delivering an exceptional experience to customers, managing day-to-day operations, and proactively developing team members to reach their full potential. Embrace change, excel in high-pressure situations, exhibit strong prioritization and time management skills, and combine analytical thinking with hands-on problem-solving and a customer-service mindset.
Assistant Store Manager, Lake Nona West (Orlando, FL, US, 32827) SephoraAssistant Store Manager, Lake Nona West (Orlando, FL, US, 32827)Orlando, FL$60,100–$73,600 / yearCollaborate with the Store Manager to ensure smooth daily operations, delivering exceptional client experiences while driving sales and profitability in a fast-paced environment. . This role requires the ability to lift and carry up to 50 pounds, bend/stretch to stock shelves, stand and walk the sales floor for the entire shift, and work in a fragrance-filled environment.
Industrial Preconstruction Manager Brasfield & Gorrie, LLCIndustrial Preconstruction ManagerOrlando, FloridaExperience in developing costs for self-perform work including, but not limited to, cast-in-place concrete, structure excavation and other earthwork scopes, above and below ground piping systems, and process equipment installation. Responsibilities and Essential Duties include the following (other duties may be assigned): Multiple years of experience in managing the construction or estimating construction costs for water and/or waste water treatment plants or similar facilities.
Architectural Project Manager LuxusArchitectural Project ManagerSanford, FL$110,000–$155,000 / yearArchitectural Project Manager, Project Architect, Architecture Project Manager, Commercial Architecture, Retail Architecture, Restaurant Design, Public Facilities, Municipal Architecture, Institutional Projects, Revit, Deltek, Smartsheet, Construction Administration, Building Codes, Permitting, Client Management, Architecture Leadership, Orlando Architecture Jobs, Florida Architecture Jobs, CPH Corporation, Luxus Group. This is a high-visibility opportunity for an experienced Architectural Project Manager to lead the planning, design, and delivery of commercial, retail, restaurant, public facility, and institutional projects throughout Florida and beyond.
Case Manager RN Texas Nursing ServicesCase Manager RNSanford, Florida$36.96–$44 / hourCaseManagerRN #RNCaseManager #AcuteCareRN #CareManagement #HospitalCaseManager #CareCoordination #DischargePlanning #FloridaRNJobs #SanfordFLJobs #NursingCareers. Case Manager RN, RN Case Manager, Acute Care Case Manager, Hospital Case Manager, Care Coordination Nurse, Utilization Review RN, Discharge Planning Nurse, Transitional Care RN, Sanford RN Jobs, Florida Nursing Jobs, Care Management.
Manager of Quality/Risk Management Parrish Medical CenterManager of Quality/Risk ManagementTitusville, FLIn collaboration with the multidisciplinary team, the Quality Manager assess, plans, develops, coordinates, implements, and evaluates the daily departmental plan of care to include efficient utilization of schedules, staff, and equipment. • Participates in committees as assigned, supports quality assurance activities including initiating, reviewing, and revising policies and procedures, and participates in ongoing process improvement initiatives related to the organization.
Associate Collision Manager Tesla IncAssociate Collision ManagerSanford, FLIn this role, you will be responsible for leading an engaged team while delivering an impeccable service experience through driving excellent results and delivering operational efficiency in our collision centers. This position requires a clear understanding of production systems and collision shop workflow, utilizing critical thought processes and root cause analysis.
Collision Manager Tesla IncCollision ManagerSanford, FLYou must be a strong tactical problem solver who can work in a fast-paced environment, capable of multi-tasking, and effectively leading a team to achieve business goals and objectives. Able to manage multiple tasks with competing priorities, set and achieve goals, lead group root-cause problem-solving, and develop quick countermeasures.
Admin Project Manager III TalentBurst, Inc.Admin Project Manager IIIMerritt Island, FLThe ideal candidate will serve as a key liaison between leadership, internal teams, and external stakeholders, driving projects from initiation through completion while maintaining clear communication, accountability, and operational excellence. We are seeking an experienced Administrative Project Manager to lead and coordinate strategic initiatives in a fast-paced, high-growth environment.
Salesforce CRM Program Manager SGA Inc.Salesforce CRM Program ManagerOrlando, FLRemote$65–$70 / hourData Governance and Insights: Accountable for ensuring the responsible data and marketing leads govern data quality, integrity, and compliance; define data segmentation strategies; and translate campaign performance metrics (e.g., CLV, churn rate, ROI) into actionable business insights. Program Governance: Establish and enforce program governance structures, including securing work estimates from internal teams and vendors, conducting cost-benefit/ROI analysis, and managing scope and change control for all system enhancements and strategic shifts.
Grocery Terminal Manager Swift Transportation Co LLCGrocery Terminal ManagerCocoa, FLAbility to lead others; above average verbal and written communication skills; ability to transfer knowledge; excellent organizational skills; professional appearance; detail-oriented; ability to take direction from managers; knowledge of the transportation industry preferred. Responsible for monitoring and reviewing department costs; maintain cost control in order to maximize the organization's bottom-line profitability; decrease terminal fuel expense through bulk-fuel usage as well as safety-related expenses.
Nursing Operations Manager - Orlando Health Heart and Vascular Institute Cardiology South Zone Orlando Health Ventures l LLCNursing Operations Manager - Orlando Health Heart and Vascular Institute Cardiology South ZoneFLMay require one or more of the following certifications based on the assigned patient population: o Advanced Cardiovascular Life Support (ACLS) o Pediatric Advanced Life Support (PALS) o Neonatal Advanced Life Support (NALS) o Trauma Nurse Core Course (TNCC) • National leadership board certification through the American Nurses Credentialing Center (ANCC) or American Organization for Nursing Leadership (AONL) within 2 years. What You'll Do: Provide clinical and operational leadership to RNs, LPNs, and clinical support staff Drive excellence in quality outcomes, patient experience, and key performance indicators (KPIs) Lead and support the implementation of new cardiology programs and initiatives across all sites Collaborate directly with cardiologists and both outpatient and inpatient service lines to ensure seamless continuity of care Foster a culture of engagement, accountability, and professional growth Why Join Us?
Engineering Project Manager Salas O'BrienEngineering Project ManagerMerritt Island, FloridaOur specialized experience includes design for data centers, healthcare, science and technology, high-rise buildings, clean energy, education, and other building types as well as structural and building sciences, infrastructure asset management, advanced robotics, and more. Job Summary: The Engineering Project Manager is a member of the technical staff and fills a pivotal role as a design team leader who effectively manages schedule, budget, and technical scope to reduce risk and manage dynamic and changing projects.
Manager Cardiovascular Services Parrish Medical CenterManager Cardiovascular ServicesTitusville, FLThe Manager is responsible for promoting and demonstrating Parrish Healthcare’s Culture of Choice®; actively and effectively participates in ensuring strategic goals and objectives are met or exceeded; provides the management and oversight necessary to ensure assigned functional area(s) – Cardiovascular Services (Cath Lab, Stress Lab, Cardiac Rehab, Echo-vascular) have the proper resources, metrics and talent in place to effectively fulfill our mission to provide Healing Experiences for Everyone all the Time® and achieve organizational strategic (Game Plan) goals. Must have at least one (1) of the following licensed in the State of Florida: Registered Nurse (RN), Registered Cardiovascular Invasive Specialist (RCIS) or Radiology Technologist Cardiovascular (RTCV); Radiologic Technologist (RT) through ARRT with 2+ years of related experience may also be accepted.
Case Manager RN Parrish Medical CenterCase Manager RNTitusville, FLAssesses and evaluates the patients plan of care within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status that coincides with 2MN rule and medical necessity of hospital admission. Assesses and evaluates the medical necessity and appropriateness of ancillary testing, medications, treatment, and plan of care, discussing concerns with the involved physician, nurse or ancillary staff member.
Sr. Roadway Project Manager CPHSr. Roadway Project ManagerSanford, Florida$100,000–$145,000 / yearPerform roadway design tasks including alignments (horizontal and vertical), typical sections, drainage/hydraulic analysis, erosion control planning, quantity calculations, cost estimating, and overall plan production. The Senior Roadway Engineer is responsible for leading the engineering design team in the development and execution of projects from initial concept through successful completion.
NewMaintenance Manager DomtarMaintenance ManagerSanford, FLYou will be required to successfully complete a selection process that could include interviews, an employment background check, a pre-employment drug and alcohol screen, reference verifications, aptitude tests (for some positions), and a fitness-for-duty test (for some positions). Work closely with Operational management to optimize the overall production and cost efficiency of the operation as well as manage risk.
Manager - Asset Protection (New Store Opening) - Lake Nona West Rack Nordstrom IncManager - Asset Protection (New Store Opening) - Lake Nona West RackOrlando, FL$51,500–$83,500 / yearBuild strong, trusting relationships with in-store leaders, including Store Manager, Service Experience, Inventory Accuracy, and Human Resources teams; serve as the subject matter expert on shrink and loss prevention. For Los Angeles or San Francisco applicants: Nordstrom is required to inform you that we conduct background checks after conditional offer and consider qualified applicants with criminal histories in a manner consistent with legal requirements per Los Angeles, Cal.
Manager Clinical Education CHS - Clinical Quality Health First IncManager Clinical Education CHS - Clinical QualityRockledge, FLPerforms learning needs assessments, serving as an educational resources for CHS clinical and operational leadership groups; tracking education program effectiveness and offering assistance with continuous improvement initiatives. The Manager, Clinical Education, under the direction of the Director of Quality and Safety, oversees the development, coordination, and facilitation of clinical education and competency programs across the Health First Integrated Delivery Network's (IDN) Community Health Services (CHS) division.
Assistant General Manager Culver'sAssistant General ManagerTitusville, FL$19–$21In 1984, Craig and Lea Culver, along with Craig’s parents George and Ruth, opened the very first Culver's in the family’s beloved hometown of Sauk City, Wisconsin, and began serving ButterBurgers® and Frozen Custard. While folks can vividly recall the first time they bit into a ButterBurger or tasted a scoop of rich, creamy Fresh Frozen Custard, it’s our way of welcoming guests that truly makes Culver’s delicious.
General Manager EdgewaterGeneral ManagerEdgewater, FloridaAbout Workout AnytimeAtlanta-based Workout Anytime is a 24-hour, seven-day-a-week fitness concept with 180+ units across the U.S. Founded by fitness veterans John Quattrocchi and Steve Strickland, the company was formed to provide members with first-class fitness facilities at the lowest cost possible, deliver a profitable and affordable business model to franchisees and offer exciting career opportunities for its employees. Atlanta-based Workout Anytime is a 24-hour, seven-day-a-week fitness concept with 180+ units across the U.S. Founded by fitness veterans John Quattrocchi and Steve Strickland, the company was formed to provide members with first-class fitness facilities at the lowest cost possible, deliver a profitable and affordable business model to franchisees and offer exciting career opportunities for its employees.
NewSourcing Manager The Walt Disney CompanySourcing ManagerKissimmee, FL$100,100–$134,200 / yearCost Control and Profitability: Leverage extensive confectionery industry expertise to proactively monitor and mitigate macro-economic, geo-political, agricultural, and ingredient-related cost or delivery impacts to the business, including sugar, cocoa, dairy, nuts, flavorings, colors, labor rates, packaging inputs, trade agreements and disputes, and regulatory or environmental policy changes. + Supplier Diversification: Identify the strategic need for new suppliers and manufacturers as applicable, working with internal and external partners to explore and vet potential new suppliers, including leading costing and sampling exercises and supplier onboarding.
Behavioral Health Case Manager ChsflBehavioral Health Case ManagerOrlando, FloridaOverall, the Behavioral Health Case Manager contributes to the CHS high-performance culture by exhibiting our values and providing quality results that keep CHS as the premier provider of child, family and behavioral health support services. You'll work directly with youth experiencing serious emotional and behavioral challenges, helping families navigate complex systems, access services, and create pathways toward stability and success.
Targeted Case Manager ChsflTargeted Case ManagerCocoa, FloridaYou'll work directly with youth experiencing serious emotional and behavioral challenges, helping families navigate complex systems, access services, and create pathways toward stability and success. Overall, the Targeted Case Manager contributes to the CHS high-performance culture by exhibiting our values and providing quality results that keep CHS as the premier provider of child, family, and behavioral health support services.
NewProject Manager EskewDumezRippleProject ManagerOrlando, FLThis role will lead the management and delivery of architectural projects across all phases, serving as a key client contact while guiding project teams, overseeing project performance, and supporting successful project execution. EskewDumezRipple (EDR) is a nationally recognized group of architects, designers, and thinkers operating within the fields of architecture, interior design, research, and urban strategies with studios in New Orleans and Washington DC.
Case Manager Optum Oveido UnitedHealth Group IncCase Manager Optum OveidoOviedo, FL$60,200–$107,400 / yearThe 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. Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes.