Rn chart review jobs in Houston, TexasCreate job alerts

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers (CSW) and Community Health Coordinator (CHC) who work with our highest complexity patients and their primary care physicians to meet their medical and social needs with the aims of fully engaging them in our intensive primary care model and maximizing their healthy time at home. Intensive Community Manager will serve as a clinical lead for a Community Care team. They will coordinate the team’s efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care. This person will perform initial assessments and design comprehensive plans of care for many of these patients. This professional will also provide clinical supervision to other team members in delivering the plan of care and in other tasks necessary to meet their needs and engage them in care. As a clinical leader for the team, this person will also be deeply involved in prioritizing team efforts and may also become the direct supervisor for some team members. This position adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures ESSENTIAL JOB DUTIES/RESPONSIBILITIES: • Provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or readmission to the ER/hospital ., • Provides home visits to perform initial assessment of patient and the development of care plan for the Licensed Practical Nurse (LPN) to use as they perform the follow up patient visits, once patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient., • Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management., • Performs clinical and Social determination of Heath screening (SdoH) assessments to include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting. Coordinate the Plan of Care: • Provides oversight for the License Practical Nurse (LPN) with clear plan of care and education which is mandatory during all LPN visits., • Conducts/coordinates initial case management assessment of patients to determine outpatient needs., • Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits., • Completes individual plan of cares with patients, family/care giver and care team members., • Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly., • Assesses the environment of care, e.g., safety and security., • Assesses the caregiver capacity and willingness to provide care., • Assesses patient and caregiver educational needs., • Coordinates, reports, documents and follows-up on multidisciplinary team meetings., • Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks., • Coordinates the delivery of services to effectively address patient needs., • Facilitates and coaches’ patients in using natural supports and mainstream community resources to address supportive needs., • Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients., • Establishes a supportive and motivational relationship with patients that support patient self-management, • Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services., • Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate., • Home visit under the direction of the patient’s primary care physician to meet urgent patient needed., • Associate degree in Nursing required., • Bachelor’s Degree in nursing (BSN) or RN with bachelor’s degree in home in a related clinical field preferred., • A valid, active Registered Nurse (RN) license in State of employment required., • A minimum of 2 years’ clinical work experience required., • A minimum of 1 year of case management experience in community case management experience highly desired., • Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired, • This position requires possession and maintenance of a current, valid driver’s license. We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day. Current Employee apply ___ Current Contingent Worker please see job aid ___ to apply #LI-Onsite

Office Location: Austin, TX Schedule: Monday-Friday 8AM-5PM Are you a RN Clinical Supervisor looking for a new opportunity? Embrace Hospice is seeking a passionate, dedicated Hospice Clinical Supervisor to join our team in Austin, TX. This role ensures high-quality patient care by overseeing hospice staff, coordinating services, and guiding clinical decisions. The ideal candidate is a strong communicator and leader, with a passion for providing exceptional end-of-life care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! How YOU will benefit • Deep Personal Fulfillment: You make a difference in people’s lives during one of their most vulnerable times., • Leadership development: Refine your leadership, mentoring, and decision-making skills., • Clinical Growth: Sharpens your ability to evaluate care quality, interpret diagnoses, and stay deeply involved in patient care., • Team Impact: Help clinicians grow professionally and create a strong team culture. As a RN Clinical Supervisor You will: • Review new patient referrals and determine care needs; assign appropriate hospice staff., • Support and guide clinical staff through home visits, case reviews, and real-time consultations., • Help develop patient care plans, set treatment goals, and prioritize care., • Lead and participate in team case conferences to ensure coordinated, holistic care., • Conduct regular chart audits and provide feedback for quality improvement., • Participate in hiring, onboarding, and training of clinical team members., • Support staff development and continuing education programs., • Assist in policy development and uphold professional care standards., • Engage in community outreach and promote the hospice’s mission and services., • Medical, Dental, Vision insurance, • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare), • Tuition discounts & reimbursement, • 401(k) with company match, • Generous PTO, • Mileage reimbursement, • Registered nurse with current licensure to practice professional nursing in the state., • Graduate of NLN accredited school of nursing with a BSN degree is preferred., • Previous experience in hospice/home care setting and with two (2) years management or supervisory experience, • Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order., • Complies and maintains current CPR certification.

Job Description Join IVX Health as a Registered Nurse! This position will be located in our Medical Center clinic | Monday-Friday, 1 Saturday per month | 8-10hour shifts. You could also float to our clinics in Bellaire or Clear Lake. Join a team that's redefining infusion care and creating exceptional patient experiences. Are you a skilled and compassionate Registered Nurse (RN) looking for an opportunity to make a meaningful impact in patient-centered infusion care? IVX Health is seeking an RN to provide high-quality, specialized infusion therapy in an outpatient setting. As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized, compassionate care to our patients. With your expertise in infusion therapy, you'll administer treatments, monitor patient responses, and collaborate with a multi-disciplinary team to ensure the highest standard of care. Every treatment you deliver will help improve patients' lives and provide them with the support they need. What You Will Do • Provide Direct Patient Care – Deliver on-site and virtual supervision while administering infusions and injections with precision., • Conduct Patient Assessments – Conduct patient assessments, document observations, and monitor treatment responses., • Educate and Support Patients – Guide patients and families through treatment expectations, potential side effects, and disease management., • Ensure Compliance and Quality – Maintain accurate records in the Electronic Health Record (EHR) system, review nursing documentation, and uphold HIPAA and OSHA standards., • Optimize Clinical Workflows – Assist with chart preparation and treatment planning to streamline patient visits., • Collaborate with Healthcare Teams – Work closely with referring providers and cross-functional teams to enhance care coordination., • Support Operations and Training – Assist in inventory management, prior authorizations, and regulatory adherence., • Flexibility and Adaptability – Work at multiple facilities within a designated market as needed., • Active and Unrestricted Registered Nurse (RN) license, • Life Support Certifications – BLS certification required; PALS certification preferred., • Clinical Experience – Background in an ambulatory infusion center, outpatient specialty clinic, or similar setting is a plus., • Strong IV and Infusion Therapy Skills – Experience with specialty biologics, medication management, and emergency response protocols., • Proficiency in Clinical Documentation – Experience with EHR systems and a strong understanding of HIPAA and regulatory compliance., • Exceptional Communication & Collaboration – Ability to work effectively with patients, families, and multidisciplinary teams. Why Join IVX Health • Make a Meaningful Impact – Deliver high-quality care that directly improves patients' lives and supports their families., • Collaborative & Supportive Team – Work alongside a dedicated, multidisciplinary team in a positive and patient-focused environment., • Grow Your Career – Access Continuing Education Units (CEUs), tuition reimbursement, and professional development opportunities. We cover the cost of CRNI (Certified Registered Nurse Infusion) and ONCC (Oncology Nursing Certification Corporation) certifications to support your career advancement., • Advanced Clinical Training – Receive ultrasound IV skills training to enhance your expertise in infusion therapy., • Prioritize Work-Life Balance – Enjoy flexible scheduling, ample PTO, and the ability to truly disconnect and recharge during holidays., • Innovative Outpatient Care – Be part of a cutting-edge healthcare model that prioritizes patient comfort, seamless care coordination, and specialized infusion therapies. About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We're transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence Benefits We Offer • Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services., • Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs., • Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security., • Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses., • 401(k) Retirement Plan – Secure your future with a competitive company match., • Disability Coverage – Voluntary short-term and long-term disability plans to protect your income., • Fertility and Family Support – Resources and benefits designed to support fertility care and family planning., • Life and AD&D Insurance – Financial protection for you and your loved ones., • Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being., • Education Assistance – Tuition reimbursement and certification support to help you grow in your career., • Continuing Education – Access to a CEU library for ongoing professional development., • Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about. EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment. Privacy Policy

Job DescriptionDescriptionBecome a Medical Scribe FirstScribe-X offers unparalleled clinical experience and preparation for medical school. • Receive extensive paid training that will help you master EMR systems and patient documentation procedures., • Develop professional mentorships as you work one-on-one with providers., • Gain patient contact hours and letters of recommendation that will make your applications stand out. Duties of a Medical Scribe • Perform chart preparation per clinic protocol, • Accompany the provider in all scheduled patient visits, • Document the patient history, physical exam, procedures, and patient plan, as performed by the provider, • Remind provider of relevant quality metrics when appropriate, documenting to support quality metrics, • Enter laboratory and radiographic studies, as ordered by the provider, • Enter in medication orders, as dictated by the provider, • Document and print instructions for the patient, • Review completed charts with the provider between patients or at the completion of shift, • Update provider preference and clinic preference documents as necessary Education and Skills • Excellent verbal and written English skills, • Strong computer skills with the ability to learn and navigate new software quickly, • Healthcare track (e.g. pre-med, pre-PA, pre-nursing) is preferred, • Bachelor’s degree strongly preferred with a GPA of 3.00 or greater, • High School diploma or equivalent required, • If no college degree, 3+ years of full time work experience strongly preferred, • Most assignments require a typing speed of at least 60 WPM, • Some assignments require a typing speed of at least 80 WPM, • Full-time availability required, Monday-Friday., • Spanish-speakers are eligible for a higher pay. Benefits • Opportunity for letters of recommendation from providers, • Gain patient contact hours, • Paid time-off on an accrual basis • $1/hour for fluent Spanish-speaking candidates

Job Description:\n\nSummary: Under general supervision, delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established protocol and / or as ordered by the emergency room physician. Works in cooperative effort with physician and other members of clinical staff to ensure effective patient care delivery and achievement of desired patient outcomes. Effectively interact with patient and significant others, while maintaining the standard of professional nursing. Provides care for patients presenting with various types of illnesses and/or injuries requiring emergency attention and must be able to recognize and effectively treat life-threatening conditions. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: FACILITY OPERATIONS Clinical 1. Provides direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities include (but are not limited to): 2. Collects information regarding chief complaint and / or current symptoms, as well as a detailed patient history, and documents findings in the patient medical record. Reports findings to the healthcare provider. 3. Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. 4. Performs triage and assessments, while considering both physical and psychosocial elements 5. Manages basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol. 6. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology. 7. Documents nursing care as appropriate in the patient medical record. 8. Works directly under physicians, assisting them during exams, procedures, diagnostic testing and treatments. 9. Prepares and administers medications as ordered by the physician, (oral, subcutaneous, intravenous / infusion, intramuscular) and records administration and such other relative data in the medical record. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse 10. Provides IV infusion / therapy in accordance with physician orders, performs 12-lead EKG, venipuncture and IV initiation, blood draws, cardiac and pulse oximetery monitoring, applies oxygen using the appropriate delivery system, administers nebulized treatments. 11. Assists physician with management of critical patients 12. Assists physician with procedures including but not limited to laceration repair (any complexity), any procedure requiring moderate sedation, Incision and Drainage (I &D), cardiac arrest, intubation, chest tube insertion, foreign body removal (any part of the body), live birth or spontaneous aborted fetus and tissue, records time of death and birth, assists Administration in reporting death in the emergency room as needed 13. Keeps accurate records of procedures, including moderate sedation flow sheet, CPR/Code Blue flow sheets/record 14. Maintains and makes appropriate and correct entries into applicable clinical logs and records as required by facility policy and procedure. 15. Cleans and bandages wounds, applies splints. 16. Reviews discharge instructions with the patient and, as needed, provides patient education and training including wound care, crutch training, use of nebulizers or inhalers, and other types of training. 17. Reviews all discharge instructions with patient and take vital signs prior to discharge to ensure patient is stable and records results in the patient medical record. 18. Provides basic, bedside nursing care. 19. Assists administration in maintaining proper / par-level supplies and appropriate medical equipment to care for patients. 20. Reports any suspected abuse to the appropriate agencies. 21. Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: discharge instructions, post-treatment home care needs, diet/nutrition/exercise programs, self administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment. 22. Displays professionalism while completing multiple urgent tasks in a timely manner. 23. Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. 24. Performs other position-related duties as assigned, depending on assignment setting. 25. Reports safety violations, work injuries, or work hazards to administration. 26. Accounts for on hand narcotics amounts at each shift change in the presence of a qualified healthcare professional, i.e., RN, physician and records narcotic count into appropriate log. 27. Logs medication inventory and removal of medications for administration as required by pharmacy policy and ensures security of the pharmacy during shift. 28. Provides proper shift change communication report to proper relief and remains on shift until properly relieved by employee of equal licensure or certification. 29. Complete all necessary chart nursing documentation in accordance with policy. Documentation must be legible and in English. 30. Performs quality assurance reviews of charts as designated by administration. 31. Maintains all required certifications and licenses as required by the 25 TAC §131.45. 32. Maintains all clinical proficiencies and annual training as required by facility policy. 33. Also performs other clinical services, where qualified and competent which may include but not be limited to the following: Laboratory a. Performs duties as assigned for venous blood draws for blood and body fluid samples. Uses drawn samples to perform and complete such laboratory point of care testing and send out labs as ordered by the on duty physician. b. Reports abnormal lab testing to the health care provider as soon as possible and without delay. c. Posts such completed lab results to the chart. d. May perform or assist with daily/monthly QC’s to ensure proper performance and compliance in the laboratory. e. Fulfills requirement of annual laboratory proficiency testing. f. Reports and documents any diversion from normal lab operations or incidents to the Nurse Director, i.e., exposures, incidents, spills, injuries, etc. COMPLIANCE 1. Maintains confidentiality of patient related issues as outlined by HIPAA and company policies. 2. Works in cooperation with other administrative and facility staff to ensure compliance with HIPAA rule and standards as applicable to patient medical records, patient care, and diagnostic testing to include but is not limited to patient medical charts, radiology reads/results and other protected health information (PHI). 3. Ensures emergency room and treatment areas operate within the compliance standard with Federal, State and if applicable, accrediting agencies. 4. Successfully completes all required competency testing as required for position with the emergency room. 5. Shall fully comply with the guidelines set forth in the Infection Control and Prevention Program and any applicable Center for Disease Control (CDC) requirements relative to the operations of the facility. 6. Reports all conditions and injury as required by state, federal and local laws including but not limited to reportable diseases, notifiable conditions, animal bites, sexual assaults, abuse, neglect and others as required by law. 7. Be required to undergo and successfully complete periodic review and on-site skill / proficiency testing. 8. Ensures operation and processes of the emergency room and treatment areas including any applicable standards of care are maintained at the highest possible level in all aspects in the areas of quality assurance, patent and life safety. RISK MANAGEMENT/QUALITY ASSURANCE 1. May assist the Nurse Director in completing or producing various clinical reports. 2. Performs medical record quality assurance reviews of nursing notes and documentation for accuracy and completion and reports deficiencies to Nurse Director. 3. Ensures all diagnostic test results and other portions of the patient char have been reviewed by the attending physician and then properly reconciled to the patient medical record. 4. Assists the Nurse Director in other clinical duties as needed. 5. Reports any violations of policies and procedure, including any incidents of over Infection Control, Patient Safety, Safety Violation and Hazards to Administration. 6. Works in cooperation with other administrative and facility staff to ensure overall departmental compliance topics and matters directly and indirectly related to quality assurance; risk management and life safety as applied to patient care and employee safety ENVIRONMENT OF CARE/LIFE SAFETY / PATIENT SAFETY 1. Abides by the Safety and Environment of Care policies and procedures of the facility. 2. Participates in disaster and fire drills as required by the facility and knows role in the event of evacuation as assigned by administration. 3. Uses proper PPE when performing patient care and handling chemicals. 4. Adheres and complies with the requirements of the infection control and patient safety programs. 5. Ensures operational readiness of the emergency room clinical department as it applies to equipment, materials, supplies, maintenance and repairs. Removes defective equipment and devices from service and makes prepares deficiency report to Nurse Director. 6. Takes steps and performs duties to ensure the emergency room nurse station and other clinical areas are clean and free from hazards. 7. May complete training and competencies in high level disinfection of semi-critical devices. 8. Properly disinfects and stores medical equipment in clean utility areas, ensures medical equipment is connected to critical power when not in use, and in ensures that all equipment is operational and ready at all times. 9. Assist in inventorying of supplies and equipment to ensure proper working order and adequate par levels. Reports low par-level of supplies and medications to Nurse Director. 10. May performs monthly inventory of medication and crash carts to ensure all medications and supplies are intact and current. Removes expired medications and orders replacement, removes any supplies with broken seals or otherwise compromised packaging and replaces the items. Properly stores or disposes of expired medications and supplies in accordance with policy. OTHER ESSENTIAL DUTIES AND JOB RESPONSIBILITIES 1. Must be adaptable to varying working conditions that may change with or without advance notice. 2. Attends monthly staff meetings, in-services and/or department meetings as required by the facility. Must attend 80% of all mandatory meetings within a one (1) year period of time. Notice of absence from any mandatory meeting must be submitted to the Nurse Director. 3. Must be able to work efficiently with various levels of management, vendors, a diverse workforce and patients from various demographic backgrounds. 4. May be required to travel at the discretion of the Governing Board. May be required to drive personal or company provided vehicles; and/or travel by airplane as needed. 5. Abides by company policies and procedures and complies with all applicable State, Federal and local laws, requirements of all Federal and State regulatory agencies and requirements of any applicable accreditation agencies. 6. Takes reasonable measures to ensure that overtime is minimized. 7. In order to ensure that department is fully operational, performs department operation duties daily and as needed. 8. Ensures that the emergency room clinical department operates within compliance with applicable policies; state, local and federal laws; applicable codes, licensing requirements; ordinances, etc. 9. Routinely participates in various activities reinforcing reasonable and sound work activities that supports the goals of the company by performing various assigned tasks. 10. Demonstrates the ability to exercise sound judgment; apply effective written and oral communication techniques with all business contacts to include but not limited to employees, vendors, other members of administration, patients, physicians and the general public. 11. In conjunction with the other administrative and other designated clinical staff, is engaged in work productivity in the freestanding emergency room. 12. Maintains confidentiality of patient and employee related issues. 13. Treat all patients, visitors, and staff members fairly and with respect. 14. Upholds and enforces patient rights. 15. Regular attendance and compliance with attendance standards is required. 16. Takes care to perform duties and task which operate within the budget set forth by the Governing Board. 17. Position is subject to require overtime. Such position may include being required to work extended hours during the week, weekends, and holidays and during periods in which a state of emergency has been declared. Competencies To perform this job successfully, an individual should demonstrate the following competencies: Analytical - Synthesizes complex or diverse information. Problem Solving - Identifies and resolves problems in a timely manner; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Technical Skills - Objectively assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others. Patient/Customer Service - Manages difficult or emotional patient/customer situations; responds promptly to patient needs; solicits patient feedback in an attempt to achieve an optimum level of patient care. Interpersonal Skills - Focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to the ideas of others; and is willing to try new solutions and options. Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens for and seeks proper clarification; responds well to questions asked; demonstrates excellent group presentation skills; participates in meetings and enrichment discussions Written Communication - Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet appropriate needs; presents numerical data effectively and legibly; and is able to read and interpret written information. Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to the views of others; gives and welcomes feedback; contributes to building a positive team spirit; puts the success of the team above his/her own interests; able to build morale and group commitments to goals and objectives; su