Outpatient nurse jobs in Toms River, NJCreate job alerts

Nurse Practitioner Welcome to Allied Digestive Health! To learn more about Allied Digestive Health, click the link below: We are seeking a Full Time Nurse Practitioner to join our team at Atlantic Coast Gastroenterology in Brick, NJ. To learn more about our practice, please click the link below: This role will include inpatient and outpatient duties. Summary: The Nurse Practitioner is a licensed independent practitioner who is responsible for managing health problems and coordinating health care for patients in accordance with State and Federal rules and regulations. This position must comply with the standards of care, which include without limitation assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of patient status and clinical management. The practice is conducted in collaboration with other health care team members. Essential Skills: • Knowledge of pertinent medical and drug information necessary to examine and treat gastroenterology patients., • Current provider card in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS), • Has, or eligible for, hospital privileges, • Comfortable multitasking with a sharp attention to detail, • Can perform duties accurately in a timely and efficient manner., • Can demonstrate exemplary patient service skills and display courteousness and respect., • Excellent interpersonal skills, with a strong ability to remain cordial throughout the work day as well as to maintain patience under occasional stressful situations., • Excellent verbal and written communication skills., • Computer skills: Electronic medical records, MS Office, • Demonstrates strong time management skills and organizational skills., • Knowledge of HIPAA and OSHA Laws and safeguards and be able to follow these guidelines at all times Education and Experience Required: • Graduate of an accredited school of nursing., • Graduate of an accredited Nurse Practitioner Program, • Current Advanced Practice Registered Nurse (APRN) Licensure, • Current DEA certificate, • Current CDS certificate

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health. Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Licensed Therapists in the Eatontown, NJ area who are passionate about patient care and committed to clinical excellence. • Wanting to deliver high quality behavioral healthcare., • Seeking work life balance., • Interested in growing professionally., • The ability to work closely with adults and the child/adolescent populations., • Telemedicine and in-person flexibility at the present time., • Generous ‘above market’ compensation with unlimited/uncapped earnings., • Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more., • Collegial work environment., • Newly designed and modern offices., • Full administrative support., • Latest in digital technology., • Strong work/life balance.., • Sign-on Bonus, • Earnings in the range of $75,000 - $100,000 + annually., • Licensed Clinical Social Worker (LCSW)/ Licensed Marriage and Family Therapist (LMFT) / Licensed Professional Counselor (LPC).

Job Description Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family! We are seeking to hire a Corporate Nursing Team Lead to join our corporate office located in Lakewood, NJ. Medical Development · Maintain knowledge of and assist in the development of medical protocols to optimize patient care and operational efficiency. · Collaborate with Director of medical development to ensure medical trainings and company resources are effective and supporting medical teams in delivery of top quality medical and nursing care · Collaborate with medical staff to optimize patient care and operational efficiency. · Integrate evidenced based practice modalities and trainings resources into current medical assessments and practices · Research effective treatment intervention and best practices for substance use disorders and co-occurring mental health conditions Medical trainings and Processes · Facilitate meetings and timely interventions with medical team to model effective medical processes and treatments · Conduct independent and co facilitated medical trainings · Evaluate proficiency and needs of the medical team and medical programs by observing on sight across multiple inpatient and outpatient programs to identify areas for quality improvement · Travel to facilities to conduct on-site audits while providing training and ensuring compliance with healthcare regulations and standards. Quality Assurance · Conduct weekly chart audits to drive consistent documentation practices and standards of care across company programs · Conduct quarterly evaluations to ensure adherence to all company medical protocols and processes · Collaborate with extended operations team to maintain a real time understanding of programmatic strengths and weaknesses to inform development and training agenda · Assist Director of Medical Development with day to day challenges in ensuring utilization review and quality assurance needs are met Lead Nurse Qualifications: * Active RN or LPN license * 2+ years of nursing experience in SUD/behavioral health * Leadership or supervisory experience (preferred) * Strong clinical judgment & crisis management skills * Knowledge of state/federal regulations & EMR systems * BLS/ACLS certification (preferred) Benefits Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package: • 401K with employer match, • Eligible for HRSA STAR federal student loan repayment, • Medical Insurance, • Dental, • Vision, • Accident, • Critical Illness, • Hospital Indemnity, • Voluntary Short-Term Disability, • Voluntary Long -Term Disability, • Employer-Paid Life and AD&D, • LifeTime Benefit Term Insurance with Long Term Care, • Legal Coverage, • Pet Insurance, • Identity Theft Protection, • Employer-Paid Employee Assistance Program, • Flexible Spending Account (FSA) - Medical, • Dependent Care FSA (DCF) Join our growing team and discover the magic here at Avenues! Apply today! Job Posted by ApplicantPro

Job Description Partnership Health an outpatient Family Practice In Toms River NJ is seeking a dedicated and skilled Dermatology Nurse Practitioner to join our team. This is a part time position 4 hours per week This role is pivotal in providing high-quality patient care focusing on skin health and treatment. The ideal candidate will possess a strong background in nursing with experience in various medical environments, including pediatrics, and outpatient services. A commitment to patient-centered care and the ability to work collaboratively with a multidisciplinary team are essential. Duties • Conduct comprehensive patient assessments and physical examinations., • Develop and implement individualized treatment plans for dermatological conditions., • Administer botulinum toxin treatments as needed, • Provide education to patients regarding skin care, treatment options, and preventive measures., • Collaborate with physicians and other healthcare professionals to ensure optimal patient outcomes., • Current state licensure in New Jersey as a Nurse Practitioner, • Experience in dermatology required, • Ability to work effectively within a team while demonstrating strong communication skills with patients and families., • Experience with telehealth services is a plus., • This position requires a compassionate individual who is committed to improving the lives of patients through effective dermatological care. If you meet these qualifications and are eager to make an impact in the field of dermatology, we encourage you to apply.

Job DescriptionNurse PractitionerWelcome to Allied Digestive Health! To learn more about Allied Digestive Health, click the link below: We are seeking a FT Nurse Practitioner to join our team at Gastroenterologists of Ocean County, in Toms River, NJ. To learn more about our practice, please click the link below: This role will include inpatient and outpatient duties. Summary: The Nurse Practitioner is a licensed independent practitioner who is responsible for managing health problems and coordinating health care for patients in accordance with State and Federal rules and regulations. This position must comply with the standards of care, which include without limitation assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of patient status and clinical management. The practice is conducted in collaboration with other health care team members. Essential Skills: · Knowledge of pertinent medical and drug information necessary to examine and treat gastroenterology patients. · Current provider card in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) · Has, or eligible for, hospital privileges · Comfortable multitasking with a sharp attention to detail · Can perform duties accurately in a timely and efficient manner. · Can demonstrate exemplary patient service skills and display courteousness and respect. · Excellent interpersonal skills, with a strong ability to remain cordial throughout the work day as well as to maintain patience under occasional stressful situations. · Excellent verbal and written communication skills. · Computer skills: Electronic medical records, MS Office · Demonstrates strong time management skills and organizational skills. · Knowledge of HIPAA and OSHA Laws and safeguards and be able to follow these guidelines at all times Education and Experience Required: · Graduate of an accredited school of nursing. · Graduate of an accredited Nurse Practitioner Program · Current Advanced Practice Registered Nurse (APRN) Licensure · Current DEA certificate · Current CDS certificate

Job Description About the Role: The Family Nurse Practitioner (FNP) plays a crucial role in delivering comprehensive healthcare services to patients of all ages within the community. This position involves assessing, diagnosing, and managing a wide range of health conditions, ensuring that patients receive high-quality care tailored to their individual needs. The FNP will also focus on patient education, empowering individuals to make informed decisions about their health and wellness. Collaboration with other healthcare professionals is essential to provide holistic care and improve patient outcomes. Ultimately, the FNP is dedicated to promoting health, preventing illness, and managing chronic conditions, contributing significantly to the overall well-being of the community. Schedule - Rotating Weekends (Saturday and Sunday 8a-1p) in Toms River and Brick Minimum Qualifications: • Master's degree in Nursing with a specialization as a Family Nurse Practitioner., • Current and valid Nurse Practitioner license in State of New Jersey, • Experience in outpatient setting, • Conduct thorough patient assessments, including physical examinations and health histories., • Diagnose and manage acute and chronic health conditions, developing appropriate treatment plans., • Provide patient education on disease prevention, health promotion, and medication management., • Collaborate with interdisciplinary teams to ensure comprehensive patient care and continuity of services., • Document patient interactions and treatment plans accurately in electronic health records.

Job Description Join Stress Care of New Jersey and work with our* dynamic, caring and talented while helping others!* Stress Care of New Jersey, LLC is a Behavioral Health and Addiction Treatment Center licensed by the State of NJ and accredited by The Joint Commission. At Stress Care, we provide a full range of Outpatient Services, including Psychiatric Evaluations, Medication Management, Traditional Therapy, Group Therapy, Intensive Outpatient Programs, and Partial Care. We work with adults and adolescents and our integrated treatment team consists of Psychiatrists, Nurse Practitioners, Clinical Social Workers, Counselors, Peer Professionals, and other allied team members We are currently seeking a Full Time Licensed Social Worker (LSW) / Licensed Associate Counselor (LAC) / Certified Alcohol and Drug Counselor (CADC) to join a diverse practice and work with an experienced multidisciplinary team. Clinical supervision will be provided by a certified clinical supervisor as well as supervision towards LCADC. ANNUAL SALARY: Starting at $55,000 Qualifications and Skills • NJ Licensed Social Worker (LSW) or Licensed Associate Counselor (LAC), • Evaluate mental health diagnosis, create, and implement a treatment plan, complete ongoing documentation including further diagnosis, treatment plan reviews, and case notes according to company policy., • Provide group therapy and individual therapy., • Provide high-quality, compassionate, and ethical group therapy to clients as scheduled., • Provide services and conduct yourself in a manner consistent with the professional Code of Ethics., • Complete timely and accurate documentation including treatment plans, initial assessments, progress notes, and discharge summaries. Stress Care of New Jersey offers a comprehensive variety of benefits to promote health and financial security for you and your family: • Competitive Salary, • Comprehensive Medical, Dental & Vision Plan Options, • Generous Paid Time Off (vacation, sick, personal), • 401K Retirement Plan (Employer Match!), • Tuition Reimbursement, • Covered Malpractice Insurance Stress Care of New Jersey has a high quality performance improvement program that continuously evaluates clinical, program and patient satisfaction outcomes. Our constant and systematic evaluations allow us to be consistently ranked highly in clinical care and patient satisfaction.Stress Care of New Jersey is a leading provider of mental and behavioral health, and primary care treatment. We are licensed by the state of New Jersey, certified by Medicare, and accredited by the Joint Commission.\r\n\r\nStress Care of New Jersey has a high quality performance improvement program that continuously evaluates clinical, program and patient satisfaction outcomes. Our constant and systematic evaluations allow us to be consistently ranked highly in clinical care and patient satisfaction.

Job DescriptionBenefits: • 401(k), • Health insurance, • Paid time off The Psychiatric Provider at a Substance Use Disorder Treatment Facility will deliver comprehensive psychiatric care, including assessment, diagnosis, treatment, and management of patients with mental health and addiction disorders. The role involves working collaboratively with a multidisciplinary team to ensure the delivery of high-quality mental health services. Key Responsibilities: 1. Clinical Care: • Conduct thorough psychiatric evaluations and assessments to diagnose mental health conditions., • Develop and implement individualized treatment plans., • Prescribe and manage medications, ensuring proper use and monitoring for side effects., • Provide psychotherapy or coordinate with other therapeutic services as needed., • Monitor and document patient progress, adjusting treatment plans as necessary.2. Collaboration and Teamwork:, • Collaborate with a multidisciplinary team, including psychiatrists, psychologists, social workers, nurses, and other healthcare professionals., • Participate in case conferences, treatment planning meetings, and team discussions., • Communicate effectively with patients, families, and caregivers, offering education and support.3. Documentation and Compliance:, • Maintain accurate and up-to-date medical records in accordance with regulatory and facility standards., • Ensure all documentation complies with legal and ethical standards for confidentiality and patient care., • Adhere to all facility policies, procedures, and regulatory requirements.4. Professional Development:, • Stay current with advancements in psychiatry and mental health treatment., • Participate in continuing education and professional development opportunities., • Mentor and supervise medical students, residents, or other healthcare professionals as appropriate.5. Quality Improvement:, • Engage in quality improvement initiatives to enhance patient care and facility operations., • Contribute to the development and implementation of evidence-based practices and clinical guidelines. Qualifications: • Education:, • Nurse Practitioner (NP) or Physician Assistant (PA) with a specialization in psychiatry, or, • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school., • Licensure:, • Valid state license to practice as an NP, PA, MD, or DO., • Certification:, • Board certification in Psychiatry for MD/DO, or, • Certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) for NPs., • Experience:, • Previous experience in a mental health setting preferred., • Skills:, • Strong clinical skills in psychiatric assessment and treatment., • Excellent communication and interpersonal skills., • Ability to work collaboratively in a multidisciplinary team environment., • Strong organizational and time management skills., • Proficiency in electronic medical records (EMR) systems.Work Environment:, • The position is based in a substance use disorder treatment facility, which may include inpatient, outpatient, or residential treatment settings., • The role involves working with diverse patient populations, including adults, • Participation in on-call rotations and flexible working hours may be required to meet patient needs.Physical Requirements:, • Ability to perform tasks such as standing, walking, and sitting for extended periods., • Capability to handle high-stress situations and manage emotionally challenging interactions.Benefits:, • Competitive salary and benefits package, including health insurance, retirement plans, and paid time off., • Opportunities for professional development and continuing education., • Supportive work environment with a focus on work-life balance.This job description outlines the general responsibilities and qualifications for the position of Psychiatric Provider in a Substance Use Disorder Treatment Facility. It is not exhaustive and may be subject to changes and updates to meet the needs of the facility and its patients.

Partnership Health an outpatient Family Practice in Brick and Toms River is seeking an experienced Family Nurse Practitioner for a per diem position.Our office is open only to the employees of the Brick and Toms River school systems/Board of education.We offer onsite Family Medicine, X-ray, Physical

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with o

At least 1 year of recent dialysis experienced required PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with

Stability Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ. Stability HealthCare is a premier Per Diem and Travel Nurse Company. We provide the most qualified Nurses with great opportunities throughout the United States.

At least 1 year of recent dialysis experienced required PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP

Atlas MedStaff is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work with our team. If you don’t have this kind of

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following

SambaTraveler is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ.

Uniti Med is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ.

Key Words: Registered Nurse, RN, Labor & Delivery, Contract Nurse, Travel Nurse, Agency RN, Travel RN, Nursing, Contract, L&D, Labor and Delivery, LD. Labor and Delivery Nurses (RN), also called perinatal nurses, provide care and support for women before, during and after delivery of the bab

Travel L&D Registered Nurse - $2,448 per week in taxable pay and non-taxable stipend amount. KPG Healthcare is currently seeking an experienced L&D (Labor and Delivery) Registered Nurse (RN) for a travel assignment. Requirements for a Travel L&D Registered Nurse (RN):.

CityMD is a network of urgent care centers dedicated to setting an unprecedented standard of care for our patients and an edifying, intuitive work environment for our employees.We are looking for Emergency and Family Practice trained physician assistants who thrive in an environment surrounded

We recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. The Registered Nurse assumes responsibility and accountability for inco

Physician Assistant - Neonatology/NICU.Jersey Shore University Medical Center - Neptune, New Jersey.The NICU Physician Assistant will attend high-risk deliveries and work with neonatologists to assess, diagnose, prescribe, perform procedures, and help develop care plans for neonates.The successful c

Host Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ. As a nurse, allied, or therapy professional, you will be matched to one of our responsive recruiters who will have your back throughout your journey.

Jersey Shore University Medical Center.Jersey Shore University Medical Center, a premier academic medical center and state-designated Level I Trauma Center, is seeking a highly skilled and resilient Physician Assistant to join our elite Trauma Surgery team for the night shift.The successful candidat

Coast Medical Service is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class

Nurse Practitioner - Neonatology/NICU. The NICU Advanced Practice Nurse will attend high-risk deliveries and work with neonatologists to assess, diagnose, prescribe, perform procedures, and help develop care plans for neonates. MSN with Advanced Practice Nurse credentials.

Lancesoft is seeking an experienced Medical Surgical/Telemetry Registered Nurse for an exciting Travel Nursing job in Bricktown, NJ. The Registered Nurse is responsible for evaluating patients and assisting physicians with patient care. NJ State Professional Registered Nurse license or multi-state c

Busy Group Pediatric Practice in Ocean County, N.Centrally located near the Jersey Shore, 1 hour from NYC, Philadelphia and Atlantic City.Pediatric Affiliates offers a 4 day per week work schedule in addition to 2 weekend days in a 28 day cycle.Benefits include renewal license reimbursement, ma

Fusion Medical Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Toms River, NJ. The Labor and Delivery Registered Nurse provides comprehensive patient care in the obstetric setting.

Busy Group Pediatric Practice in Ocean County, N.Centrally located near the Jersey Shore, 1 hour from NYC, Philadelphia and Atlantic City.Pediatric Affiliates offers a 4 day per week work schedule in addition to 2 weekend days in a 28 day cycle.Benefits include renewal license reimbursement, ma

Dermatology Nurse Practitioner (NP) or Physician Assistant (PA).

Busy Group Pediatric Practice in Ocean County, N.Centrally located near the Jersey Shore, 1 hour from NYC, Philadelphia and Atlantic City.Pediatric Affiliates offers a 4 day per week work schedule in addition to 2 weekend days in a 28 day cycle.Benefits include renewal license reimbursement, malpra

A pre-eminent women s healthcare group in the highly desirable NJ community is now considering candidates for its full-time WHNP or PA position.Dedicated to providing unsurpassed gynecological care to the whole woman in a nurturing and respectful environment, this stable group s ideal addition will

FNP) as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate. Spectrum Healthcare Resources (SHR) is proud to present a p

URGENT Psychiatric Mental Health Nurse Practitioner Locums Job Call Coverage in New Jersey. Psychiatric Mental Health Nurse Practitioner (PMHNP).

Outpatient Rheumatologist NP position in South New Jersey.

The Registered Nurse provides nursing care in the health care system within the scope of practice defined by the Nurse Practice Act and regulatory standards and assures awareness of ethical standards of practice as defined by the ANA code of ethics. Active New Jersey Registered Nurse License. The Re

Licensed Psychiatric Nurse Practitioner. Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?. This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice.

Physicians Practice Enhancement, LLC is committed to the highest level of patient, hospital and physician satisfaction.As a physician-led organization, we recognize that our success is dependent on the professional satisfaction and success of our physicians and providers.At PPE, our family of clinic

Nurse Practitioner with an interest in Geriatrics. This arrangement includes seeing patients in Skilled Nursing, Assisted Living, and Nursing Home settings with some outpatient office work possible. Work with other physicians and nurse practitioners.

Nurse Anesthetist, Certified Registered, Healthcare, Health Care, Patient Care, Hospital, CRNA. Certified Registered Nurse Anesthetist (CRNA). This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.

Responsibilities of Licensed Practical Nurses (LPNs) Providing one-to-one nursing care in a home environment Taking direction from clinical team and being overseen by a registered nurse Following the plan of care Following all clinical and office policies Requirements for Licensed Practical Nurses (

The Registered Nurse provides nursing care in the health care system within the scope of practice defined by the Nurse Practice Act and regulatory standards and assures awareness of ethical standards of practice as defined by the ANA code of ethics. The Registered Nurse is responsible for knowledge

And, achieving that mission can only be accomplished with talented and caring nurses like you. A Day in the Life of a Care Options for Kids Nurse. You start your day by touching base with your care team, whether that's mom, dad, or the nurse you are relieving.

The Registered Nurse provides nursing care in the health care system within the scope of practice defined by the Nurse Practice Act and regulatory standards and assures awareness of ethical standards of practice as defined by the ANA code of ethics. The Registered Nurse is an individual practitioner

Licensed Practical Nurse, Registered Nurse, Home Health Care, Pediatric Nursing, Patient Care, Nurse Support, Clinical Documentation, Healthcare, Flexible Scheduling, Autonomous Care. Benefits for Licensed Practical Nurses (LPNs) / Registered Nurses (RNs). Responsibilities of Licensed Practical Nurs

CRNA Opportunity Northern New Jersey (10 minutes from Manhattan).Join a well-established, high-performing anesthesia team just across the river from Manhattan.This full-time CRNA position in northern New Jersey offers an exceptional work-life balance with excellent compensation, diverse case mix, an