Senior Community Care of MichiganNurse Practitioner (Full-Time) Monday-Friday 8:00 AM-4:30 PM Senior Community Care of MichiganNurse Practitioner (Full-Time) Monday-Friday 8:00 AM-4:30 PMLansing, MIPerforms physical assessments of new PACE Enrollees, semi-annual reassessments of participants and develops and implements appropriate plans of care to Senior Community Care program participants. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.
Signify HealthNewNurse Practitioner for In-home Visits Signify HealthNurse Practitioner for In-home VisitsEast Lansing, MIRemote$2,500–$4,000You will be provided a pre-populated, patient-specific form for each evaluation and do not prescribe medicine, order lab tests, or alter people’s current treatment regimen. We’re hiring board-certified nurse practitioner contractors to conduct In-Home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
Ovid Healthcare CenterNewRN Unit Manager (UM) - Sign On Bonus Ovid Healthcare CenterRN Unit Manager (UM) - Sign On BonusOVID, MISupervises nursing care provided by Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA) and others. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.
Ovid Healthcare CenterNewRN Unit Manager (UM) Ovid Healthcare CenterRN Unit Manager (UM)OVID, MISupervises nursing care provided by Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA) and others. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.
Aria Nursing and RehabNewInfection Preventionist Nurse Aria Nursing and RehabInfection Preventionist NurseLANSING, MIThe Infection prevention nurse is responsible for designing systems and approving actions to prevent or control infections, based on surveillance reports of infections and infection potential among residents and staff. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.
Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Bellevue, MIREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Emergent Holdings IncNewUtilization Review Nurse Case Manager Emergent Holdings IncUtilization Review Nurse Case ManagerLansing, MI$73,600–$123,200 / yearPAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. The Utilization Review (UR) Nurse engages with physicians, peer reviewers and collaborates with claim handlers to determine appropriate treatment decisions.
Eaton County Health & Rehabilitation ServicesRehab Nurse - 12 hour Day shift Eaton County Health & Rehabilitation ServicesRehab Nurse - 12 hour Day shiftCharlotte, MIAttends continuing education seminars and workshops as required to maintain current licensing, in addition to participation in-house and computerized in-service workshops. Provides for the nursing care of patients and cooperates with other members of the nursing care team and personnel from other departments in providing for the patient's total needs.
University of Michigan Health-SparrowNewRN - ORTHO & WOUND CARE - PER DIEM University of Michigan Health-SparrowRN - ORTHO & WOUND CARE - PER DIEMLansing, MIEducation Education: • Associate degree in Nursing from an accredited college or university • BSN Preferred Specialized Knowledge and Skills Skills & Abilities: • Interpersonal skills for effective communication. General Requirements License / Certification: • Current Michigan license as a Registered Nurse • Basic Life Support from the American Heart Association within 60 days of hire.
University of Michigan Health-SparrowNewRN - MED SURG FLOATS University of Michigan Health-SparrowRN - MED SURG FLOATSLansing, MIGeneral Requirements • Current Michigan license as a Registered Nurse • See Competency Grid below for department specifics Work Experience • Clinical knowledge and critical thinking skills necessary to deliver quality patient care. Demonstrates knowledge and use of unit-specific equipment and appropriate supplies used to deliver the highest quality patient care.
University of Michigan Health-SparrowNewRN - NEURO TRAUMA ICU 3W University of Michigan Health-SparrowRN - NEURO TRAUMA ICU 3WLansing, MIEducation Education: • Associate degree in Nursing from an accredited college or university • BSN Preferred Specialized Knowledge and Skills Skills & Abilities: • Interpersonal skills for effective communication. The NCU is a full service critical care monitored unit, which provides an opportunity to maintain and improve skills in the overall assessment and care of the critically ill patient.
University of Michigan Health-SparrowNewRN - IP GERIATRIC PSYCH University of Michigan Health-SparrowRN - IP GERIATRIC PSYCHLansing, MIGeneral Requirements • Current Michigan license as a Registered Nurse • See Competency Grid below for department specifics Work Experience • Clinical knowledge and critical thinking skills necessary to deliver quality patient care. Education • Associate degree in Nursing • Basic Life Support within 60 days of hire • Recipient Rights training with 30 days of hire and annually thereafter.
University of Michigan Health-SparrowRN - MEDICAL ICU 10W University of Michigan Health-SparrowRN - MEDICAL ICU 10WLansing, MIEducation Education: • Associate degree in Nursing from an accredited college or university • BSN Preferred Specialized Knowledge and Skills Skills & Abilities: • Interpersonal skills for effective communication. General Requirements License / Certification: • Current Michigan license as a Registered Nurse • Basic Life Support from the American Heart Association within 60 days of hire.
University of Michigan Health-SparrowRN - GENERAL SURGERY University of Michigan Health-SparrowRN - GENERAL SURGERYLansing, MIJob FamilyRegistered Nurses/Nursing LeadershipRequirements: ShiftNightsNightsDegree Type / Education LevelAssociateAssociateStatusFull-timeFull-timeFacilitySparrow HospitalSparrow HospitalExperience Level4-9 Years4-9 Years. EducationEducation:• Associate degree in Nursing from an accredited college or university• BSN Preferred Specialized Knowledge and SkillsSkills & Abilities:• Interpersonal skills for effective communication.•
University of Michigan Health-SparrowEXPERIENCED RN for Med Surg and Stepdown University of Michigan Health-SparrowEXPERIENCED RN for Med Surg and StepdownLansing, MIThe following are University of Michigan Health Sparrow - Lansings inpatient units: • 4 South Adult Acute Care • 5 West Medical Oncology • 6 West Orthopedics • 7 West Med Surg • 7 Neumann Surgical Specialties • 7 Foster Medical Intermediate • 8 South Observation Unit • 9 West Neuro Sciences • 10 West Medical Intermediate Care. Requirements: Shift: Nights Nights Degree Type / Education Level: Associate Associate Status: Full-time Full-time Facility: Sparrow Hospital Executive Sparrow Hospital Executive Experience Level: Under 4 Years Under 4 Years.
SUNY Downstate Medical CenterClinical Nurse Specialist, NS35 NICU SUNY Downstate Medical CenterClinical Nurse Specialist, NS35 NICUlansing, MIAssess the unique nursing needs of these patients, formulates nursing care plans and writes nursing orders under the direction of the attending physician or independently manages the nursing care and/or additional specific aspects of the clinic. Provide patent care service by evaluating current nursing practices, and plan, manage and deliver continuing nursing education and training for all nursing staff to meet any and all best practice initiatives put forth by professional organizations and regulatory agencies.
University of Michigan Health-SparrowRN - EMERGENCY DEPARTMENT - BEHAVIORAL HEALTH SPECIALTY University of Michigan Health-SparrowRN - EMERGENCY DEPARTMENT - BEHAVIORAL HEALTH SPECIALTYLansing, MICrisis Prevention Intervention certification within 30 days of hire • Advanced Cardiovascular Life Support (ACLS) issued by the American Heart Association within 12 months of hire • Pediatric Advanced Life Support (PALS) certification issued by the American Heart Association within 12 months of hire • Trauma Nursing Core Course (TNCC) certification issued by the Emergency Nurses' Association within 12 months hire • Emergency Nursing Pediatric Course (ENPC) certification issued by the Emergency Nurses' Association within 12 months hire. Requirements: Shift: Nights Nights Degree Type / Education Level: Associate Associate Status: Full-time Full-time Facility: Sparrow Hospital Sparrow Hospital Experience Level: Under 4 Years Under 4 Years.
Eaton County Health & Rehabilitation ServicesLicensed Practical Nurse Full-time Nights Eaton County Health & Rehabilitation ServicesLicensed Practical Nurse Full-time NightsCharlotte, MIDevelop and maintain a good working rapport with neighborhood residents, family and personnel, as well as others within and outside the facility to ensure that nursing services can be adequately maintained. The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants.
Eaton County Health & Rehabilitation ServicesRegistered Nurse Eaton County Health & Rehabilitation ServicesRegistered NurseCharlotte, MIDevelop and maintain a good working rapport with neighborhood residents, family and personnel, as well as others within and outside the facility to ensure that nursing services can be adequately maintained. The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants.
SUNY Downstate Medical CenterENT Nurse Practitioner SUNY Downstate Medical CenterENT Nurse Practitionerlansing, MIBargaining Unit:UUPJob Summary:The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University is seeking a full-time Assistant Director of Nursing/ENT Nurse Practitioner, Suite H. The successful candidate will:Provide primary care service to individuals and families, which will include care for incumbents own panel of patients, as well as seeing walk-in patients of the practice as needed.
University of Michigan Health-SparrowSIH-REGISTERED NURSE University of Michigan Health-SparrowSIH-REGISTERED NURSEIonia, MIFamilyRegistered Nurses/Nursing LeadershipRequirements: ShiftVariableVariableDegree Type / Education LevelAssociateAssociateStatusFull-timeFull-timeFacilitySparrow Ionia HospitalSparrow Ionia HospitalExperience Level4-9 Years4-9 Years. Job RequirementsGeneral RequirementsCurrently Licensed with the State of Michigan to practice as a Registered NurseCurrent Basic Life Support for Healthcare Providers within 60 days of hire ACLS and PALS within 12 months of hireStroke Certification/Education within 12 months of hire.
University of Michigan Health-SparrowNewSEH-REGISTERED NURSE University of Michigan Health-SparrowSEH-REGISTERED NURSEEaton Rapids, MIThe incumbent is also required to handle problem situations in a tactful, courteous and respectful manner • Skills necessary to provide guidance, training, prioritize and review the work of assigned staff • Analytical ability to assess patient's progress and to determine appropriate intervention based on nursing theory and incorporation of patient and physician goals • Mental ability to complete required documentation in a timely manner, deal with the concerns and emotional needs of patients and their families, and appropriately respond to stressful/emergency situations • Physical ability to stand for prolonged periods of time, walk extensively, transfer/lift/ reposition/assist patients, and properly utilize the equipment/devices necessary in providing prescribed care to patients. Educates patients, families, significant others using methods appropriate to the situation and considering patient's learning needs, readiness to learn, and culture.
University of Michigan Health-SparrowRN (per diem) | UMH-Sparrow Ionia (Emergency Dept) University of Michigan Health-SparrowRN (per diem) | UMH-Sparrow Ionia (Emergency Dept)Ionia, MIRequirements: Shift: Variable Variable Degree Type / Education Level: Associate Associate Status: Per Diem Per Diem Facility: Sparrow Ionia Hospital Sparrow Ionia Hospital Experience Level: 4-9 Years 4-9 Years. Independently implements the nursing process with patients/clients in the Emergency Department including carrying out physicians orders regarding diet, medication and treatment.
SUNY Downstate Medical CenterNurse Practitioner / Assistant Director of Nursing, Ambulatory Care, Suite G, OB-GYN SUNY Downstate Medical CenterNurse Practitioner / Assistant Director of Nursing, Ambulatory Care, Suite G, OB-GYNlansing, MIBargaining Unit:UUPJob Summary:The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University is seeking a full-time Assistant Director of Nursing/Nurse Practitioner, Suite G OB-GYN. On a daily bases, review all laboratory and radiology reports to identify abnormal results for urgent follow up; ensure that patients are contacted to arrange additional care and that their primary providers are notified.
University of Michigan Health-SparrowRN - PATIENT PLACEMENT COORD University of Michigan Health-SparrowRN - PATIENT PLACEMENT COORDLansing, MIWork Experience • Minimum of two years recent acute care hospital RN experience within the last seven years (i.e. emergency department, critical care, intermediate, or medical/surgical units), or two years previous experience in an Admission/Bed Placement Center at an acute care hospital of similar size and volume of admissions. Function as primary bed placement coordinator for patients admitted to the hospital, which includes: Assign admissions from Emergency Department, Post Anesthesia Care Unit, other internal departments, physician offices, outlying hospitals, etc.
University of Michigan Health-SparrowNew Graduate RN for Med Surg and Stepdown University of Michigan Health-SparrowNew Graduate RN for Med Surg and StepdownLansing, MI4 South Adult Acute Care • 5 West Medical Oncology • 6 West Orthopedics • 7 West Med Surg • 7 Neumann Surgical Specialties • 7 Foster Medical Intermediate • 8 South Observation unit • 9 West Neuro Sciences • 4 Foster Cardiac Progressive Care • 10 West Medical Intermediate Care. Requirements: Shift: Variable Variable: Degree Type / Education Level Associate: Associate Associate: Status Full-time: Full-time Facility: Sparrow Hospital Sparrow Hospital: Experience Level New Grad: New Grad.
University of Michigan Health-SparrowRN - PATIENT PLACEMENT COORD PER DIEM University of Michigan Health-SparrowRN - PATIENT PLACEMENT COORD PER DIEMLansing, MIWork Experience • Minimum of two years recent acute care hospital RN experience within the last seven years (i.e. emergency department, critical care, intermediate, or medical/surgical units), or two years previous experience in an Admission/Bed Placement Center at an acute care hospital of similar size and volume of admissions. Function as primary bed placement coordinator for patients admitted to the hospital, which includes: Assign admissions from Emergency Department, Post Anesthesia Care Unit, other internal departments, physician offices, outlying hospitals, etc.
MedElite Group, LLC.NewTravel Licensed Practical Nurse MedElite Group, LLC.Travel Licensed Practical NurseLansing, MI$30–$35 / hourInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. We are seeking to hire a responsible, patient, and qualified Travel Licensed Practical Nurse (LPN) to assist with reviewing patient charts across assigned facilities and locations.
Eaton County Health & Rehabilitation ServicesRegistered Nurse Full-Time Nights Eaton County Health & Rehabilitation ServicesRegistered Nurse Full-Time NightsCharlotte, MIDevelop and maintain a good working rapport with neighborhood residents, family and personnel, as well as others within and outside the facility to ensure that nursing services can be adequately maintained. The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants.
Milan Laser Hair RemovalPart Time - Registered Nurse Milan Laser Hair RemovalPart Time - Registered NurseOkemos, MISupported by a collaborative team and steady client demand, you’ll enjoy predictable schedules, professional growth opportunities, and the satisfaction of seeing visible results that transform clients’ confidence. In Milan’s structured clinic environment, you’ll combine medical expertise, patient education, and compassionate care to ensure every client feels informed, comfortable, and supported throughout their journey.
Milan Laser Hair RemovalPart-Time - Licensed Practical Nurse Milan Laser Hair RemovalPart-Time - Licensed Practical NurseOkemos, MISupported by a collaborative team and steady client demand, you’ll enjoy predictable schedules, professional growth opportunities, and the satisfaction of seeing visible results that transform clients’ confidence. In Milan’s structured clinic environment, you’ll combine medical expertise, patient education, and compassionate care to ensure every client feels informed, comfortable, and supported throughout their journey.
Trinity HealthPatient Care Assistant Nursing Resource Pool Trinity HealthPatient Care Assistant Nursing Resource PoolChelsea, MIChelsea Hospital is nationally recognized for both quality of care and patient satisfaction and was named a Fortune/PINC 100 Top Hospital in 2023 and a Top Community Hospital by Becker's Healthcare Review. The PCA assists patient in completing ADLs including: Bathing, showering, toileting, positioning, turning, transferring, ambulation using assistive devices and with feeding and menu selection.
Matrix Medical NetworkNewNurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsOwosso, Michigan$90–$115 / hourMatrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
Michigan State UniversityOn-Call Nurse Clinician I Michigan State UniversityOn-Call Nurse Clinician Ieast lansing, MIDaily clinical Nurse Clinician I duties will include, but are not limited to, RN triage, medication refills, prior authorizations, referrals, buckets (labs, orders etc,) administering medications as well as pre and post operative care of patients and conscious sedation for the procedures. Exposure to human blood, serum, tissue and other bodily fluids, and other materials covered under Universal Precautions; TB risk or work within 3 feet of patients in a health care setting; wear a respirator; Covid precautions.
Michigan State UniversityNewNurse Clinician I Michigan State UniversityNurse Clinician IEast Lansing, MIKnowledge equivalent to that which normally would be acquired by completing a four-year college degree program in Nursing; one to three years of related and progressively more responsible or expansive work experience in Nursing; or an equivalent combination of education and experience. The job requires significant physical effort and involves lifting and maneuvering patients, extensive walking and standing and fine manual dexterity 26-75% of the time; visual and aural acuity necessary to monitor patient care.
Pinnacle GI PartnersPre-Admissions Nurse Pinnacle GI PartnersPre-Admissions NurseLansing, MIFounded in 2020 and headquartered in Rochester, Michigan, Pinnacle GI Partners offers patients comprehensive GI services encompassing general and sub-specialty gastroenterology, colorectal surgery, endoscopic surgery centers, infusion services, anesthesiology and pathology. Our company maintains substantial physician ownership and is backed by HIG Growth Partners, a leading US-based private equity investment firm with extensive experience in building highly successful healthcare companies.
Advanced Monitored Caregiving Inc.Telephonic Nurse Care Manager Advanced Monitored Caregiving Inc.Telephonic Nurse Care ManagerLANSING, MIRemoteThis role partners closely with patients, caregivers, and interdisciplinary care teams to assess health status, develop and implement evidence-based care plans, monitor biometric and IVR data, and intervene proactively to reduce risk, prevent escalation, and improve outcomes. The Telephonic Nurse Care Manager is responsible for the remote, telephonic management of patients with chronic and complex conditions (including but not limited to CHF, COPD, diabetes, and hypertension).
Advanced Monitored Caregiving Inc.Telephonic Nurse Care Associate Advanced Monitored Caregiving Inc.Telephonic Nurse Care AssociateLANSING, MIRemoteWe are seeking a Telephonic Nurse Care Associate (LPN/LVN) who is passionate about patient engagement, chronic care support, and using technology to improve healthcare delivery. At AMC Health, we are transforming healthcare through advanced remote patient monitoring and virtual care solutions that help patients manage chronic conditions safely at home.
SUNY Downstate Medical CenterAdjunct Instructor, College of Nursing SUNY Downstate Medical CenterAdjunct Instructor, College of Nursinglansing, MIThe successful candidate will:Teach and/or supervise students in clinical specialty areas (Medical-Surgical, Pediatric, Obstetrics and Gynecology, Mental/Behavioral Health, and Community Health Nursing).Orient students to the patient care unit, hospital/agency policies, procedures, and appropriate patient record and documentation systems. Conduct clinical pre and post conferences with students to the specific roles and responsibilities; assign students to patients, review clinical objectives and criteria with students and assign students to interpersonal case presentations.
Elara CaringNewRN Clinical Team Manager CTM Home Health Elara CaringRN Clinical Team Manager CTM Home HealthEast Lansing, MIAs an Elara Caring Clinical Team Manager, you'll contribute to our success in the following ways: Provides oversight of all patient care services and personnel including: making patient and personnel assignments, coordinating patient care, coordinating referrals, assuring patient needs are continually assessed, and assuring the development, implementation, and updates to the individualized patient plan of care. Plans, directs, and participates in delivery of home health services to provide diagnosis-specific patient care, including coordination of services with providers, vendors, or facilities.
McLaren Health Care CorpLicensed Practical Nurse Lansing McLaren Health Care CorpLicensed Practical Nurse LansingLansing, MIEssential Functions and Responsibilities: Performs a variety of basic nursing procedures under the direction of a registered nurse which may include, but are not limited to, wound care, wound irrigations, medication administration, catheterization, range of motion exercises and glucose monitoring. If the LPN is appropriately qualified, prepares and administers oral, rectal, subcutaneous, intramuscular, intradermal and topical medications to patients per policy and procedure.
Memorial HealthcareRegistered Nurse - Outpatient Memorial HealthcareRegistered Nurse - OutpatientOwosso, MIUnder the guidance of the Practice Manager, Clinical Service Specialist, Operation Managers, and Physician, the Clinical Service Specialist will be responsible for assisting with patient assessment and care, maintaining appropriate documentation, maintaining the clinical area, and performing all clinical procedures. • Motor Coordination: While performing the duties of the job, it is required to regularly perform functions that include using hand and finger movement, handle or feel objects, be able to use tools or equipment that requires reaching with hands and arms.
AdvantmedNurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexible Schedule AdvantmedNurse Practitioner / Physician Assistant - High-Pay In-Home Health Assessments | Flexible ScheduleMason, MIIt is best suited for clinicians who value autonomy, professionalism, and accountability, and are looking for steady supplemental income - not short-term or ad hoc work. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.
LifeStance Health IncSpravato LPN LifeStance Health IncSpravato LPNLansing, MI$48,000–$52,000 / yearLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its 550+ clinics nationwide and through its digital health telemedicine offering. As one of the nation's largest providers of outpatient mental health care, LifeStance Health's mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare.
AdvantmedField Nurse Practitioner / Physician Assistant - Shiawassee County, Michigan AdvantmedField Nurse Practitioner / Physician Assistant - Shiawassee County, MichiganCorunna, MIIt is best suited for clinicians who value autonomy, professionalism, and accountability, and are looking for steady supplemental income - not short-term or ad hoc work. This is a 1099 PRN role requiring consistency and reliability: Maintain ongoing monthly availability.
AdvantmedField Nurse Practitioner / Physician Assistant - Ingham County, Michigan AdvantmedField Nurse Practitioner / Physician Assistant - Ingham County, MichiganLansing, MIIt is best suited for clinicians who value autonomy, professionalism, and accountability, and are looking for steady supplemental income - not short-term or ad hoc work. This is a 1099 PRN role requiring consistency and reliability: Maintain ongoing monthly availability.
Medi-WeightlossNurse Practitioner Wellness Clinic Medi-WeightlossNurse Practitioner Wellness ClinicMeridian charter Township, MichiganWe address the unique needs of patients affected by excess weight and obesity, recognizing obesity as a disease that requires a range of medical interventions. • Weekly review of Weight Tracker Report, Slipping Report, and assigned KPIs to provide clinical oversight and mentor clinical staff.