Online tutoring jobs in Bellevue, WashingtonCreate job alerts

Job Description Join Our AoPS Academy as a Math Instructor! Are you passionate about math? Do you love inspiring young minds in an engaging, collaborative classroom setting? We have the perfect opportunity for you! The Part-Time Instructor will: • Teach Engaging Curriculum: Use company-created curriculum and materials designed for advanced students to lead small classes in math, • Engage Students: Actively involve students in each class or student-led learning, • Classroom Management: Expertly manage up to 16 students, • Grade & Provide Feedback: Provide feedback on tests and assignments, • Build Relationships: Connect with students and families to make a lasting impact on their educational journey, • Bachelor's degree is required, • A Bachelor's degree in a STEM-related or educational field is strongly preferred, • Strong content knowledge in math, • Classroom teaching experience at the K-12 level is preferred A formal teaching credential is not required for this position. Schedule (Academic Year): • AoPS Academy is an afterschool program with classes in the evenings and on weekends. Candidates must be available to teach during weekday after-school hours (as early as 4pm) and/or on weekends., • This position requires a minimum initial commitment of about 3 hours per week for each assigned class., • During the summer, we offer multiple two-week camps between June - August. This is an in-person position at our Redmond location. Candidates must be located in Redmond, WA or the greater area and must be able to commute to our campus. Why Join AoPS: • Pay Rate $36/hour, • Impact: Directly teach and inspire advanced students in small classroom settings, fostering critical thinking and a love for learning while making a lasting impact on students' educational journeys, • Culture: Join a team of passionate educators dedicated to discovering, inspiring, and training the great problem solvers of the next generation through engaging, student-led learning, • Benefits: Paid sick leave, employee discounts on classes and programs, • Future Planning: 401k retirement plan with company match, • AoPS Academy is a year-round educational enrichment program., • Since 1993, AoPS has prepared hundreds of thousands of students for college and career success through engaging curriculum, expert online instruction, and local, in-person academies., • AoPS Academy is a program of Art of Problem Solving, a global leader in K–12 advanced education. AoPS Academy brings the AoPS methodology to small live physical and virtual classrooms. We offer a world-class curriculum in math, science, and language arts for students in grades 1-12, creating an environment where exploration meets challenge, right in your local neighborhood. Students learn in small classes led by accomplished instructors and collaborate with a peer group who share their passion for learning.

Job DescriptionWho We Are: Across North America and all over the world, Mathnasium Learning Centers are committed to teaching children math so that they understand it, master it, and love it. Our world-class curriculum is built upon the Mathnasium Method the result of decades of hands-on instruction and development and has changed the lives of children since 2002. Why Work with Us: At Mathnasium, were passionate about both our students and our employees! We set ourselves apart by providing instructors with: • A rewarding opportunity to transform the lives of KG-12th grade students, • Consistent, but flexible part-time hours after school and on weekends, • A fun, supportive, and encouraging work culture, • Opportunities for advancement, • Continuous training on effective teaching methodologies Job Responsibilities: • Teach/tutor in-center, online, and/or via hybrid delivery using the Mathnasium Method, terminology, and teaching practices, • Work collaboratively with team members to deliver individualized instruction in a group setting, • Assess students learning progress and engagement throughout instructional sessions, • Become proficient with digital educational materials and processes, • Passion for math and working with students, • Excellent interpersonal skills, • Eagerness to learn and be trained, • Ability to balance various ongoing tasks, • Ability to teach effectively through Pre-Calculus, • Minimum College Sophomore standing, • Minimum 1-3 years experience working in a tutoring/teaching/mentoring role All applicants will be required to take a math literacy test to demonstrate math proficiency, provide work authorization, and pass a background check.

Job DescriptionJoin our A+ Team Across North America and all over the world, Mathnasium Learning Centers are committed to teaching children math so that they understand it, master it, and love it. The Mathnasium Method the result of decades of hands-on instruction and development has been transforming the lives of children through math since 2002 and continues to be shared through in-center, online, and hybrid instruction. At Mathnasium of Eastgate (Bellevue, WA), we pride ourselves on changing lives through math. We empower our staff to provide exceptional educational services, build confidence in our students, and create a deep understanding and lifelong love of mathematics among our youth. If you are driven, motivated, and eager to make a difference, we would love to meet you! Position Summary Mathnasium of Eastgate (Bellevue, WA) is looking for an exceptional Math Tutor to create an engaging and productive learning experience for students. The ideal candidate is a bright, passionate, and dedicated professional with excellent interpersonal, mathematical, and instructional skills. This opportunity presents the right candidate a unique career path focused on helping the community and working with students, as well as a rich experience developing professional skills. All applicants are required to take a math literacy test to demonstrate math proficiency, provide work authorization, and pass a background check. Following hiring, the new team member is required to complete training in the Mathnasium Method. This is a part-time role with flexible hours. Job Responsibilities • Provide exceptional instruction/ tutoring services to students, • Participate in positive interactions with parents and establish a high level of confidence and program value, • Become proficient with digital educational materials & processes, • Teach in-center, online, and/or via hybrid delivery using the Mathnasium Method, terminology, and teaching practices which include individualized instruction in a group setting, • Assess students progress throughout instructional sessions, and work collaboratively with team members to deliver the best possible experience for students, • Evaluate, grade, and correct student work and homework, • Support the maintenance of a clean & professional learning environment, • Assist with non-teaching/ instructional tasks as neededQualifications, • A passion for math and working with students, • Excellent interpersonal skills, • Exceptional math competency through at least Algebra I, • Ability to balance various ongoing tasks, • Willingness to learn and be trainedBenefits/Perks, • Growth Opportunities, • Great Culture, • Flexible Hours

Job DescriptionWho We Are: Across North America and all over the world, Mathnasium Learning Centers are committed to teaching children math so that they understand it, master it, and love it. Our world-class curriculum is built upon the Mathnasium Method the result of decades of hands-on instruction and development and has changed the lives of children since 2002. Why Work with Us: At Mathnasium, were passionate about both our students and our employees! We set ourselves apart by providing instructors with: • A rewarding opportunity to transform the lives of KG-12th grade students, • Consistent, but flexible part-time hours after school and on weekends, • A fun, supportive, and encouraging work culture, • Opportunities for advancement, • Continuous training on effective teaching methodologies Job Responsibilities: • Teach/tutor in-center, online, and/or via hybrid delivery using the Mathnasium Method, terminology, and teaching practices, • Work collaboratively with team members to deliver individualized instruction in a group setting, • Assess students learning progress and engagement throughout instructional sessions, • Become proficient with digital educational materials and processes, • Passion for math and working with students, • Excellent interpersonal skills, • Eagerness to learn and be trained, • Ability to balance various ongoing tasks, • Ability to teach effectively through at least Pre-calculus (Calculus I preferred), • Minimum Bachelor's in a related field (Education, Mathematics, or Math-heavy degree), • 3+ years experience working in a tutoring/teaching role, • Experience mentoring/training junior team members All applicants will be required to take a math literacy test to demonstrate math proficiency, provide work authorization, and pass a background check.

Job Description Geometry Tutor (Contract) Location: Remote Hours: Set Your Own Schedule Pay: $25.00/hr At Learner Education, we are on a mission to empower students, helping them reach their full academic potential through personalized tutoring that meets their unique needs. We believe that promoting growth and confidence is key to student success, equipping them with the skills, knowledge, and self-assurance they need to thrive both in school and beyond. Our flexible, remote tutoring options aim to make learning accessible to a diverse range of students, no matter where they are located. We’re looking for enthusiastic and dedicated Geometry Tutors who are passionate about making a positive impact in students’ academic journeys. As a Geometry Tutor with Learner Education, you’ll help guide students through a range of math topics, from 6th Grade to College level, all while enjoying the flexibility of remote work and a schedule that works for you. What We Offer: • Flexible, remote work environment, • Ability to set your own hours, • Supportive community of fellow tutors for collaboration and growth, • Professional development opportunities to enhance your skills, • High-quality student referrals for your tutoring portfolio, • Compensation for cancellations within 24 hours due to our late cancellation policy, • Bachelor’s degree required, • Minimum 3 years of professional tutoring or teaching experience, • At least 1 year of online tutoring experience, • Must have relevant teaching experience and familiarity with the U.S. curriculum, • Strong subject matter expertise in Math (6th Grade to College level), • Excellent communication and interpersonal skills, • Tutors with availability during peak hours (Monday-Thursday, 3-10 PM ET) can connect with more students. Broader weekday and weekend availability is a plus!, • Fast, reliable internet connection, • A computer or laptop, a stylus pen (highly recommended for clear and efficient annotation), and headphones., • Professional, quiet environment conducive to tutoring, • U.S.-based bank account and SSN Why Join Learner? • Enjoy a flexible work-life balance with the ability to set your own schedule, • Work remotely and build your tutoring career with us, • Access a supportive community of tutors for ongoing collaboration and growth, • Enhance your professional skills through development opportunities, • Help students from diverse backgrounds succeed in their education Ready to make a difference in students' lives? Apply today to join our team of passionate Tutors at Learner Education

Job Description Job Summary - Contracted Tutor Shiery’s Tutoring is seeking a highly-qualified teacher with previous teaching and/or tutoring experience to add to our growing team. Tutors will work with one student (or two students working on the same material) at a time to support students' academic needs and goals. We are looking for tutors to work with students one-on-one, or in small groups, in any or all of the following subject areas: • Elementary Literacy (specifically reading & writing), • Elementary Math, • Middle School Math, • Middle School English, • Geometry, Algebra, & Algebra II, • Trigonometry & Pre-calculus, • Calculus and/or AP Calculus, • Biology, Physics, and/or Chemistry, • High School English & Writing, AP Language Arts and/or AP Literacy and Composition, • High School History and/or AP History Classes, • Spanish and French - all levels, AP Spanish and/or AP French Mission Statement Shiery’s Tutoring is a teacher created and led learning center devoted to cultivating students' potential and success. Our slogan is Your Local Educational Partner, which shows our goal to come alongside families in our community and work with them to meet their student's educational needs. Qualification and Skills * Bachelor's Degree in teaching or related field or extensive experience in related field * Teaching certification preferred (can be in progress) * At least 3 years prior teaching/tutoring experience preferred * Strong content knowledge and awareness of curriculum * Strong interpersonal and relationship building skills * Strong communication skills * Willingness and ability to use technology and software (Zoom, Google Docs) Location All tutoring and classes will be in-person at our center. We do have the ability to offer online tutoring, but we are specifically looking for an in-person, local teacher. Our center is located in Bellevue at 14715 NE Bel-Red Rd, Suite 103. Rates $30 to $50 per hour The hours for this contracted position will vary based on your availability, subjects qualified to teach, and student availability. Our current pay for a 1:1 in-person tutoring session is $40/hour. Apply Interested candidates are encouraged to visit our website at to learn more about our center and our philosophy. Please send your resume, a list of the subjects you are qualified to teach/tutor, and 2 references' emails, along with a short paragraph about why you would be a good fit to nfukuhara at shierystutoring dot com. Feel free to include what education means to you and why you work in this particular field. Company DescriptionShiery's Tutoring is a small, local tutoring company. We were recently compared to a boutique educational provider. We employ only high quality teachers with years of experience, flexible scheduling for families, affordable pricing options, and no hidden costs. We strive to be a local educational partnership with our students and their families.Shiery's Tutoring is a small, local tutoring company. We were recently compared to a boutique educational provider. We employ only high quality teachers with years of experience, flexible scheduling for families, affordable pricing options, and no hidden costs. We strive to be a local educational partnership with our students and their families.

Job Description TPAPT, a national nonprofit consortium of over 12,000 locally owned and operated Tutoring & College Advising Programs, is seeking experienced AP American and AP World History instructors to work with students in grades 9-12. Tutors will work closely with students to understand their unique learning styles and create customized lesson plans that support their individual academic goals. The ideal candidate is passionate about education, exhibits strong communication skills, and has instructed or tutored these specific AP courses in the past. Company: TPAPT Chapter Tests: AP History Classification: Contract Compensation: $30-$35/hr Location: Online The Position: • Provide AP Test Prep Tutoring to students in grades 9-12, • Tutoring assignments are 60-90 minutes, • Tutoring assignments will be regular and reliable, • Tutoring sessions are generally scheduled between 2PM and 8PM PST during the week and between 10am - 4pm on weekend days To Apply: Submit a resume which highlights the subjects you tutor and the length of time you have been tutoring (or teaching) in a paid capacity. Requirements • 2 years of experience teaching or tutoring this subject, • 5-10 hours per week of availability, • Earned Bachelor's Degree, • Exceptionally strong communication skills, • $30-$35/hr. commensurate, • Flexible schedule, • No marketing

Job Description TPAPT, a national nonprofit consortium of over 12,000 locally owned and operated Tutoring & College Advising Programs, is seeking experienced AP Computer Science instructors to work with students in grades 9-12. Tutors will work closely with students to understand their unique learning styles and create customized lesson plans that support their individual academic goals. The ideal candidate is passionate about education, exhibits strong communication skills, and has instructed or tutored these specific AP courses in the past. Company: TPAPT Chapter Tests: AP CS Classification: Contract Compensation: $30-$35/hr Location: Online The Position: • Provide AP Test Prep Tutoring to students in grades 9-12, • Tutoring assignments are 60-90 minutes, • Tutoring assignments will be regular and reliable, • Tutoring sessions are generally scheduled between 2PM and 8PM PST during the week and between 10am - 4pm on weekend days To Apply: Submit a resume which highlights the subjects you tutor and the length of time you have been tutoring (or teaching) in a paid capacity. Requirements • 2 years of experience teaching or tutoring Collegeboard's AP Computer Science program, • 3-12 hours per week of availability, • Earned Bachelor's Degree, • Exceptionally strong communication skills, • $30-$35/hr. commensurate, • Flexible schedule, • No marketing

Job Description Join Our AoPS Academy as a Language Arts Instructor! Are you passionate about language arts? Do you love inspiring young minds in an engaging, collaborative classroom setting? We have the perfect opportunity for you! The Part-Time Instructor will: • Teach Engaging Curriculum: Use company-created curriculum and materials designed for advanced students to lead small classes in language arts, • Engage Students: Actively involve students in each class or student-led learning, • Classroom Management: Expertly manage up to 16 students, • Grade & Provide Feedback: Provide feedback on tests and assignments, • Build Relationships: Connect with students and families to make a lasting impact on their educational journey, • Bachelor's degree is required, • A Bachelor's degree in education or a humanities field is strongly preferred, • Strong content knowledge in reading, writing, and/or grammar, • Classroom teaching experience at the K-12 level is preferred. A formal teaching credential is not required for this position. Schedule (Academic Year): • AoPS Academy is an afterschool program with classes in the evenings and on weekends. Candidates must be available to teach during weekday after-school hours (as early as 4pm) and/or on weekends., • This position requires a minimum initial commitment of about 3 hours per week for each assigned class., • During the summer, we offer multiple two-week camps between June - August., • Pay Rate $36/hour, • Impact: Directly teach and inspire advanced students in small classroom settings, fostering critical thinking and a love for learning while making a lasting impact on students' educational journeys, • Culture: Join a team of passionate educators dedicated to discovering, inspiring, and training the great problem solvers of the next generation through engaging, student-led learning, • Benefits: Paid sick leave, employee discounts on classes and programs, • Future Planning: 401k retirement plan with company match, • AoPS Academy is a year-round educational enrichment program., • Since 1993, AoPS has prepared hundreds of thousands of students for college and career success through engaging curriculum, expert online instruction, and local, in-person academies., • AoPS Academy is a program of Art of Problem Solving, a global leader in K–12 advanced education. AoPS Academy brings the AoPS methodology to small live physical and virtual classrooms. We offer a world-class curriculum in math, science, and language arts for students in grades 1-12, creating an environment where exploration meets challenge, right in your local neighborhood. Students learn in small classes led by accomplished instructors and collaborate with a peer group who share their passion for learning.

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Senior Helpers - JobID: 2461137 [Nursing Assistant / Health Aide] As a Caregiver at Senior Helpers, you'll: Assist clients with daily living activities such as bathing, dressing, and meal preparation; Provide companionship and emotional support to clients; Monitor and report changes in client's heal

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Home Instead - JobID: 84987 [Nursing Assistant / Health Aide] As a Caregiver at Home Instead, you'll: Assist seniors with daily activities such as bathing, dressing, and meal preparation; Monitor and administer medications as prescribed; Provide companionship and emotional support to enhance their w

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Home Instead - JobID: 85720 [Nursing Assistant / Health Aide] As a Caregiver at Home Instead, you'll: Assist seniors with daily activities such as bathing, dressing, and meal preparation; Monitor and administer medications as prescribed; Provide companionship and emotional support to enhance their w

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Family Resource Home Care - 1f8e357a8121 [Nursing Assistant / Health Aide] As an In Home Caregiver at Family Resource Home Care, you'll: Provide compassionate care to elderly clients in their homes; Assist with activities of daily living such as bathing, dressing, and grooming; Administer medication

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Family Resource Home Care - 00612cb210ec [Nursing Assistant / Health Aide] As a Caregiver at Family Resource Home Care, you'll: Provide compassionate care to elderly clients in their homes; Assist with activities of daily living such as bathing, dressing, and grooming; Administer medications as pres

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Family Resource Home Care - c7a3eb81d6e8 [Nursing Assistant / Health Aide] As an In Home Caregiver at Family Resource Home Care, you'll: Provide compassionate care to elderly clients in their homes; Assist with activities of daily living such as bathing, dressing, and grooming; Administer medication

Home Care Aide License (HCA) OR Ability to complete online and in person coursework.

Always Best Care - JobID: 2543676 [Nursing Assistant / Health Aide] As a Caregiver at Always Best Care, you'll: Assist clients with daily activities such as bathing, dressing, and grooming; Administer medication and provide companionship; Prepare meals and assist with feeding; Monitor and report cha

Patient Care / Health Aide] - 16400 Southcenter Pkwy #208 - As a Caregiver youll: Assist individuals with a range of daily activities beyond personal care; Offer emotional support and companionship; Help individuals with tasks such as bathing, shampooing, combing hair, brushing teeth, shaving, and

TheKey - JobID: 11947 [Nursing Assistant / Health Aide] As a Caregiver at TheKey, you'll: Provide compassionate and personalized care to patients in a healthcare setting; Assist with daily activities such as bathing, dressing, and grooming; Administer medications and monitor vital signs; Maintain a

Agape In Home Care - JobID: 100-165737190 [Nursing Assistant / Health Aide] As a Caregiver at Agape In Home Care, you'll: Assist clients with daily living activities such as bathing, grooming, and dressing; Provide companionship and emotional support to clients; Administer medication and assist with

Home Instead - JobID: 85702 [Nursing Assistant / Health Aide] As a Caregiver at Home Instead, you'll: Assist seniors with daily activities such as bathing, dressing, and meal preparation; Monitor and administer medications as prescribed; Provide companionship and emotional support to enhance their w

ERA Living - JobID: 300-500826 [CNA / Health Aide] As a CNA NAC HCA NAR at ERA Living, you'll: Assist residents with daily living activities such as bathing, dressing, and grooming; Administer medications and treatments; Provide companionship and emotional support to residents; Monitor and document

Senior Helpers - JobID: 2489946 [Nursing Assistant / Health Aide] As a Caregiver at Senior Helpers, you'll: Assist clients with daily living activities such as bathing, dressing, and meal preparation; Provide companionship and emotional support to clients; Monitor and report changes in client's heal

Patient Care / Health Aide] - 2108 Kohler Memorial Dr #70 - As a Caregiver youll: Assist individuals with a range of daily activities beyond personal care; Offer emotional support and companionship; Help individuals with tasks such as bathing, shampooing, combing hair, brushing teeth, shaving, and d

Home Instead - JobID: 86307 [Nursing Assistant / Health Aide] As a Live-In Caregiver at Home Instead, you'll: Provide compassionate and personalized care to elderly clients in their homes; Assist with daily activities such as bathing, dressing, and grooming; Administer medications and monitor vital

NE 1st St Suite 300 - [Care Companion / Health Aide] - Flexible PT & FT Schedules / Competitive Pay + Benefits / Professional Training / Serving 600+ communities all across the US - As a Caregiver you'll: Provide in-home care and home health care services for seniors, new moms, working parents, thos

Family Resource Home Care - 6de268b8d37c [Nursing Assistant / Health Aide] As a Caregiver at Family Resource Home Care, you'll: Provide compassionate care to elderly clients in their homes; Assist with activities of daily living such as bathing, dressing, and grooming; Administer medications as pres

BrightSpring Health Services - JobID: 175749 [Nursing Assistant / Health Aide] As a Direct Support Professional at BrightSpring Health Services, you'll: Assist individuals with disabilities in daily activities; Provide emotional support and companionship; Administer medication and monitor health sta

Patient Care / Health Aide] - 12020 113th Ave Ne Bldg C #180 - As a Caregiver youll: Assist individuals with a range of daily activities beyond personal care; Offer emotional support and companionship; Help individuals with tasks such as bathing, shampooing, combing hair, brushing teeth, shaving, an

All Ways Caring HomeCare - 2025-173020 [Nursing Assistant / Health Aide] As a Caregiver at All Ways Caring HomeCare, you'll: Provide personal caregiving services in accordance with an established plan of direct care; Provide for the personal needs and comfort of people in their own homes; Assist pat

Patient Care / Health Aide] - 2108 Kohler Memorial Dr #70 - As a Caregiver youll: Assist individuals with a range of daily activities beyond personal care; Offer emotional support and companionship; Help individuals with tasks such as bathing, shampooing, combing hair, brushing teeth, shaving, and d

Home Instead - JobID: 84986 [Nursing Assistant / Health Aide] As a Caregiver at Home Instead, you'll: Assist seniors with daily activities such as bathing, dressing, and meal preparation; Monitor and administer medications as prescribed; Provide companionship and emotional support to enhance their w

Family Resource Home Care - c2a2229fbf92 [Nursing Assistant / Health Aide] As a Lead Caregiver at Family Resource Home Care, you'll: Manage daily operations of caregiving team; Provide hands-on care to clients; Develop care plans and monitor progress; Communicate with families and healthcare profess

All Ways Caring HomeCare - 2025-172819 [Nursing Assistant / Health Aide] As a Certified Caregiver at All Ways Caring HomeCare, you'll: Provide various personal caregiving services in accordance with an established plan of care; Provide for the personal needs and comfort of people in their own homes;

Interim HealthCare - 14040 NE 8th Street Suite 302 [Nursing Assistant / Health Aide] As a Caregiver at Interim HealthCare, you'll: Assist clients with daily activities such as bathing, dressing, and meal preparation; Provide companionship and emotional support to clients; Monitor and report changes

BrightSpring Health Services - JobID: 175152 [Nursing Assistant / Health Aide] As a Direct Support Professional at BrightSpring Health Services, you'll: Assist individuals with disabilities in daily activities; Provide emotional support and companionship; Administer medication and monitor health sta

Senior Helpers - JobID: 2489943 [Nursing Assistant / Health Aide] As a Caregiver at Senior Helpers, you'll: Assist clients with daily living activities such as bathing, dressing, and meal preparation; Provide companionship and emotional support to clients; Monitor and report changes in client's heal

Home Instead - JobID: 86429 [Nursing Assistant / Health Aide] As a Caregiver at Home Instead, you'll: Assist seniors with daily activities such as bathing, dressing, and meal preparation; Monitor and administer medications as prescribed; Provide companionship and emotional support to enhance their w

TheKey - JobID: 12248 [Nursing Assistant / Health Aide] As a Caregiver at TheKey, you'll: Provide compassionate and personalized care to patients in a healthcare setting; Assist with daily activities such as bathing, dressing, and grooming; Administer medications and monitor vital signs; Maintain a

Home Instead - JobID: 87126 [Nursing Assistant / Health Aide] As a Caregiver at Home Instead, you'll: Assist seniors with daily activities such as bathing, dressing, and meal preparation; Monitor and administer medications as prescribed; Provide companionship and emotional support to enhance their w

Family Resource Home Care - 8b79b5909039 [Nursing Assistant / Health Aide] As a Caregiver at Family Resource Home Care, you'll: Provide compassionate care to elderly clients in their homes; Assist with activities of daily living such as bathing, dressing, and grooming; Administer medications as pres

Senior Helpers - JobID: 2489944 [Nursing Assistant / Health Aide] As a Caregiver at Senior Helpers, you'll: Assist clients with daily living activities such as bathing, dressing, and meal preparation; Provide companionship and emotional support to clients; Monitor and report changes in client's heal