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Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body - in order to bill Medicare and meet credentialing requirements required For Psychiatric Nurse Practitioners only: Current PMHNP-BC certification required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only: Master's Degree in psychiatric-mental health Nurse Practitioner required PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required Pay Range USD $58.30 - USD $77.72 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Responsibilities: Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid " RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist. Qualifications - External Qualifications: MINIMUM EDUCATION REQUIRED: Bachelor's Degree in any discipline. If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board (MDCB). MINIMUM EXPERIENCE REQUIRED: Three years of clinical experience in a radiation therapy department as a radiation therapist or medical dosimetrist MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Board Eligible by the MDCB (Medical Dosimetrist Certification Board) Obtains Dosimetrist certification within 13 months of hire date. Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board). Business Unit : Company Name: Piedmont Columbus Midtown

Sign-on Bonus up to $5,000 Available. Vascular lab - Hybrid OR position that will also work in conjunction with Main OR. Call will be necessary. Will report to surgical services. Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. As an RN, your dedication to holistic, patient-centered care in your community is deeply valued. Piedmont supports nurses with the compensation, work/life balance, and resources they deserve. You'll work in a positive, collaborative environment alongside dedicated team members, and use state-of-the-art technology that strengthens patient care and services. You may participate in clinical research that opens doors to working on the forefront of medical advances and changes patient lives. Apply today to make a positive difference in every life you touch. Total Rewards that work for you: Competitive and equitable compensation for all roles Total Wellness programs for you and your family Wellness Coaching App - 24/7 Live Coaching Physician and Nursing Peer Coaching Financial Wellness Planning and Education Broad Employee Assistance Program service PTO your way Combined PTO days for greater flexibility 100% paid Maternity Leave (requires return to work) Employer Paid Military Leave Opportunity for PTO cash-in Celebrate Diversity - Diversity, Inclusion and Equity Paid Holiday Benefits Choice of Medical/Prescription Drug Plans Dental and Vision Adoption Assistance Fertility, family building, menopause and midlife care for your family Flexible Spending Accounts (FSA) for Healthcare and Dependent Day Care Employer-paid Short Term and Long Term Disability Employer-paid Basic Life and Accidental Death & Dismemberment Tuition reimbursement for nursing programs Responsibilities: RESPONSIBLE FOR: The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the policies and procedures of the organization and demonstrates professional growth and accountability. The staff nurse is responsible for maintaining standards of practice, coordinating patient care activities of all assigned staff in the provision of quality nursing care. Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of a nursing program MINIMUM EXPERIENCE REQUIRED: New Graduates of a nursing program eligible MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS certification required. ADDITIONAL QUALIFICATIONS: For PRN positions: One year of nursing experience in a hospital setting is required Bachelor?s degree preferred Advanced certification in field of specialty, if applicable (see addendum) Nursing Experience in Hospital Setting Preferred Business Unit : Company Name: Piedmont Macon Medical

This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote

City/State Harrisonburg, VA Work Shift First (Days) This position will cover 2 Sentara locations, our Integrative Medicine team and our East Market team. The locations are about 5 minutes apart and flexibility will be key in this role. The Assistant Practice Manager supports daily operations within the practice by providing supervision, performing administrative tasks, and managing functions to create an efficient work environment. Job Description Acts as lead during Practice Manager's absence . Provides supervision and work assignments to staff based on practice needs. Provides guidance regarding employee relations and staffing issues. Processes time ensures success of practice and management by providing overall support. Manages multip l e projects and performs work assignments as needed. Education HS Diploma required Certification/Licensure None required Experience 3 years of clerical experience required Supervisory experience preferred Keywords: Talroo - Allied Health, Assistant Practice Manager Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote

Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite

City/State Virginia Beach, VA Work Shift First (Days) Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider. Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills. Education HS Diploma required Certification/Licensure None required Experience 1 year of health insurance experience required. Keywords: Talroo-Allied Health, Referral Coordinator . We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$17.31 - $28.85. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/State Norfolk, VA Work Shift First (Days) Sentara Medical Group Comprehensive Weight Loss Kempsville Office in Norfolk, VA is looking to hire a Full-Time Specialty Resource Coordinator. Hours:Monday-Friday, 8a - 430p, Dayshift. NO NIGHTS, HOLIDAYS or WEEKENDS! This is an in-office role. Overview As aSpecialty Resource Coordinatorwith Sentara, you will provide independent and high-level support within Specialty Services to physicians and APCs in order to maximize provider efficiency, increase patient satisfaction and maximize patient access. Responsible for coordinating and adjusting resources daily for all practice providers covering all practice offices and hospitals. Must understand the complexity of each specialty and expertise of each provider and coordinate cases and consultations autonomously while accounting for the interdependence of various institutions, including offices and hospitals, requiring provider presence. Must be able to interpret complexity of call schedules across various locations and communicate information among multiple interested parties. Must be able to quickly assimilate and adjust resources. Responsible for making decisions that impact all providers on a given day which impacts provider productivity. Superior time management, analytical and problem-solving skills are required in order to prioritize emergencies in a fast-paced environment. Education HS Diploma Experience 3 years secretarial experience required Prefer medical office or medical experience, medical terminology comprehension Prefer scheduling experience Keywords: Specialty Resource Coordinator, SRC, Allied Health, Medical Office, Talroo-Allied Health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/State Zion Crossroads, VA Work Shift First (Days) Responsible for registration process of new and current patients at the site. Completes check-in and check-out functions to include collection of co-pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in a professional manner. Must be enthusiastic and energetic. Education HS Diploma required Certification/Licensure None required Experience None required Keywords: Talroo-Allied Health, Patient Care Representative Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor DSNP in Virginia Beach, VA! The position requires both in-person face-to-face assessments and remote telephonic assessments for Dual Special Needs Plan (DSNP) in their homes or facilities in Virginia Beach, VA! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Applicants must reside in Virginia Beach, VA! Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Bachelors Degree in Nursing preferred Certification/Licensure Registered Nurse (RN) License (Compact or Virginia) REQUIRED Preferred qualifications: 3 years experience in Nursing REQUIRED Case Management experience preferred Discharge planning experience preferred Managed Care or Health Plan experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90044 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Virginia Beach, VA, Managed Care, MCO, Health Plan, DSNP, Dual Special Needs Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/State Quinton, VA Work Shift First (Days) Sentara is hiring a Clinical Exercise Specialist I in Quinton, Virginia This is a Full-Time, Day shift opportunity with GREAT Benefits!!! Under the direction and guidance of a licensed clinician, Clinical Exercise Specialist provides quality exercise and health education for patients assuring a safe, pleasant, and professional atmosphere. Administers therapy treatments under the direct supervision of therapists/providers. Provides age appropriate education for Client/participants and caregivers. Qualifications: Bachelor's degree in Exercise Science, Health Science, Kinesiology, Athletic Training, Recreational Therapy, Physical Education or Masters in Athletic Training with a concentration in exercise science required. Benefits: Sentara offers an attractive array of full benefits, including Paid Time Off, Tuition Reimbursement, Retirement Savings plans, career advancement opportunities, work perks, and more. Plus, Sentara just added MORE benefits that support your and your family's needs. Ask about our Student Debt Program! For more information about our employee benefits click Benefits - Sentara (sentaracareers.com) Sentara is an integrated, not-for-profit healthcare delivery system with more than 29,000 employees (including 1,375 physicians and advanced practice providers), 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves over 900,000 members. We are recognized nationally for clinical quality and safety and are strategically focused on innovation and creating an extraordinary healthcare experience for our patients and members. Join a team with a mission to improve health every day and a vision to be the healthcare choice of the communitieswe serve! Keywords: Clinical Exercise Specialist, Physical Rehab Therapy, Outpatient, CES, Monster, Talroo-Allied Health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/State Suffolk, VA Work Shift First (Days) Sentara Obici Hospital is hiring a Community Health Worker to join the Inpatient Case Management Team! Community Health Worker - Inpatient Case Management Sentara Louise Obici Hospital - Suffolk, VA ~Full Time& Day Shift~ Monday-Friday, 8:00am-4:30pm 40 hours/week Overview The Community Health Worker works in collaboration with the Continuum Case Manager and other healthcare team members to provide comprehensive and coordinated care. Engages in interventions to improve self-management skills and improve quality of life for patients with chronic and/or complex illness. Provides education and behavior modification strategies and provides social support to patients and families. Acts as a patient advocate and healthcare navigator in assisting with resource allocation and management. Education High School Diploma or Equivalent Valid Driver's VA or NC Driver's License Certification/Licensure No specific certification or licensure requirements Experience Bilingual in English and Spanish (preferred) Experience working in a community-based setting (preferred) Knowledge of medical terminology (preferred) Keywords: Community Health Worker, Family Support, Patient Support, Spanish speaking health care advocate, inpatient case management, CHW, Talroo-Allied Health . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Obici Hospital , a 175-bed state-of-the-art facility, is located on Godwin Boulevard in Suffolk, VA. Our full-service hospital continues a legacy of providing residents of Western Tidewater with high-quality, patient-centered care. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Primary Care Nurse RN or LPN Hybrid Remote - Mercy Clinic Primary Care, Northwest Expressway Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at least 90 days of full-time, in-person training at the clinic before hybrid remote work becomes available. The hybrid schedule will be 2-3 days per week onsite after training.* Overview: Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Nurse will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for an attributed panel. Duties and responsibilities will be performed in a manner consistent with our mission, values, and Mercy Service Standards. Qualifications: Education: Diploma from an accredited school of nursing (RN or LPN). Licensure: Active nursing licensure in the state of Oklahoma (RN or LPN). Preferred Education: BSN. Preferred Experience: 6 months of nursing experience, Primary Care experience helpful but not required. We Offer Great Benefits: Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period! We're bringing to life a healing ministry through compassionate care. At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all. What Makes You a Good Match for Mercy? Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

City/State Harrisonburg, VA Work Shift First (Days) Sentara RMH Medical Center is now hiring an Clinical Manager, Neonatal Intensive Care Unit (NICU). This position will lead obstetrics and neonatal care with an emphasis on intermediate care nursery. Ideal position for a supportive leader ready to make a meaningful impact on mothers, babies, and families. To learn more about the department, visit: What we offer: Award winning unit recognized for outstanding maternity services Potential for annual performance bonus Robust facilities, resources, and support Opportunities for continued career growth Education Bachelors Degree - Nursing (required) OR Master's Degree - Nursing (Preferred) Certification/Licensure Registered Nurse License (Required) Experience 3 years of acute care experience 1 year of Nurse Management experience NICU experience desired Duties/Responsibilities Supervises patient care services staff, ensures excellent patient safety and quality outcomes as well as extraordinary patient/family experience. Responsible for interviewing, hiring, developing and retaining staff with the goal of developing a highly reliable team. Demonstrates effective communication and interpersonal skills to achieve unit and corporate goals. Assists in the development and monitoring of unit budget, coordinates purchasing and payroll processes and serves as a clinical resource to team members. Keywords: NICU, Nurse Manager, #indeed, talroo-nursing, Labor & Delivery . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara RMH Medical Center , a Magnet designated hospital located in Harrisonburg VA, serves a seven-county area with a population of 218,000 residents, employing 2600 locals. The 238-bed community hospital has been serving Harrisonburg, Rockingham County and surrounding areas since 1912, then partnered with the Sentara Health System in May of 2011. Sentara RMH features the RMH Hahn Cancer Center, a state-of-the-art center equipped with the latest cancer fighting technologies available in the nation administrating more than 18,000 cancer treatments. With 1800 delivered babies, 60,000 emergency patients and 21,000 surgical procedures, Sentara has a position for you. We improve health every day, come be a part of the community. Our Caring Workplace Environment •A Caring Commitment serving our community for 100+ years •Free and convenient parking •Collaboration and shared governance •CMS 5-Star and Magnet designated hospital •EAP - 24 x 7 Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

This is an 18-month temporary assignment with full benefit eligibility. Must reside in Ohio at the time of hire. This is a remote position; however, occasional onsite presence may be required based on business needs. The Talent Selection Specialist is responsible for providing the highest level of recruitment and staffing services to hiring leaders by delivering top talent. Responsibilities: 1. Plans and executes the sourcing, recruiting, selection, and hiring process to ensure a diverse pool of top talent for the organization while maintaining excellent relations with hiring managers, co-workers, candidates, and the community. 2. Sets service level agreements with hiring managers to define roles/responsibilities and control the hiring process. 3. Prepares candidates for interviews with hiring managers by providing information on the hospital, business strategy, department background, job description, and expectations. 4. Maintains accurate and well-ordered documentation on all applicants, searches, hiring manager interactions, and other recruiting activities to ensure accurate reporting of employment activities and successful outcomes of audits. 5. Participates in departmental activities including performance and process improvement. 6. Other duties as required. Other information: Technical Expertise 1. Experience in full lifecycle recruiting is required. 2. Experience in applicable State and Federal employment laws is required. 3. Experience in working with all levels within an organization is required. 4. Experience in medium to large sized organizations is preferred. 5. Experience in healthcare is preferred. 6. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. ATS is preferred. Education and Experience 1. Education: Bachelor's degree in Human Resources or related field is required. 2. Certification: HR certification [PHR, SHRM-CP, CEBS, CCP, etc.] is preferred. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote

Full-Time, 40 hours/week Monday - Friday 8 am - 5 pm Onsite The Senior Associate Counsel provides legal support for hospital information technology operations, including comprehensive legal and strategic guidance on the procurement, deployment, and governance of information technology systems (ISD) and artificial intelligence. This position reports to the Vice President, Senior Associate Counsel with a reporting matrix to the Chief Information Officer. Responsibilities: Advise hospital leadership and procurement teams on the legal implications of acquiring new technologies, such as electronic health records (EHR), telemedicine platforms, cybersecurity tools, and medical devices and the implementation of artificial intelligence tools. Draft, review, and negotiate a broad array of information technology contracts-such as software-as-a-service (SaaS) agreements, cloud hosting terms, data processing addenda, and business associate agreements. Identify and address legal risks in vendor offerings and technology solutions. Advise hospital leadership on legal considerations surrounding digital transformation initiatives, innovation adoption, and strategic partnerships with technology providers. Collaborate with hospital IT and security teams to develop policies and protocols for safeguarding patient data and critical systems. Advise on incident response plans, breach notification procedures, and risk mitigation strategies. Stay abreast of emerging threats and evolving best practices. Provide legal support for hospital-wide policies on technology use, social media, device management, remote work, mobile access to sensitive information, and enterprise risk for information technology. Ensure policies reflect current legal requirements and operational needs. Support the hospital in managing disputes or litigation related to technology vendors, data breaches, intellectual property claims, and other technology-related matters. Coordinate with litigation counsel as needed. Education and Training: Provide ongoing education to staff and leadership on legal implications of technology adoption, emerging regulatory requirements, and evolving risks in the health technology landscape. Identify and assess legal, operational, and compliance risks in IT contract. Other duties as assigned. Other information: Technical Expertise Openness to learning and keeping pace with rapid changes in both healthcare delivery and technological innovation. Aptitude for working effectively with clinicians, IT professionals, administrators, vendors, and regulators. Capacity to guide organizational leadership through complex legal and strategic decisions regarding technology investments. Resourcefulness and creativity in navigating novel legal challenges emerging from digital health transformation. Education and Experience Education: Juris Doctor (JD) degree from an accredited law school; Ohio bar admission or ability to obtain admission prior to start date. Experience: Minimum of 5 years of legal practice advising in healthcare Information technology contracts is required. Technical Knowledge: Familiarity with healthcare IT systems, data privacy and security laws, and emerging technologies (such as artificial intelligence, cloud computing, and IoT). Skills: Strong contract negotiation, drafting, and analytical skills. Excellent verbal and written communication abilities. Competency in risk assessment and strategic thinking. Demonstrated integrity, discretion, and ability to work collaboratively with multidisciplinary teams. Full Time FTE: 1.000000 Status: Onsite

City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education Degree or Diploma in Registered Nursing Bachelor of Science Nursing- BSN Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience 18-months of RN experience is required RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service. Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More! Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference. We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day. You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes. Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home! Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/State Hampton, VA Work Shift First (Days) Sentara CarePlex Hospital is seeking a Clinical Respiratory Specialist to join their team in beautiful Hampton, VA!! Responsibilities: Responsible for coordination respiratory educational activities for clinical staff including respiratory practitioners, nursing staff and physicians. Responsible for developing and coordinating staff orientation and competency programs. Accountable for the coordination of multidisciplinary rounding in the critical care areas on mechanically ventilated patients and implementation of ventilator weaning protocols. Sentara CarePlex Hospital Sentara CarePlex Hospital is a 224-bed, acute care hospital, and Certified Primary Stroke Center located in Hampton, Va. Sentara CarePlex Hospital provides care through advanced surgical programs, emergency cardiac intervention, fellowship-trained physicians, and the newly-opened Family Maternity Center . It is also home to the Orthopaedic Hospital at Sentara CarePlex Hospital , the area's first dedicated orthopedic hospital, taking specialized orthopedic care to a new level. Minimum Qualifications: Education Bachelor's Level Degree Experience 5 years Respiratory Care in a critical care setting Certification/Licensure State Respiratory license NBRC RRT BLS required at time of hire. Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth! EOE Keywords: RRT, Respiratory Care Practitioner, RT, Talroo Allied Health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara CarePlex Hospita l, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.