Patient Coordinator Job – NY, East Setauket

Essential Job Functions:

    • Perform all necessary receptionist duties including answering, screening and
    • Routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
    • Be polite and courteous at all times.
    • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
    • Greet and register each patient as they arrive.
    • Verify patient demographics and insurance information into the EMR.
    • Collect any necessary co-payments.
    • Notify the provider/staff of patients arrival.
    • Schedule patient appointments.
    • Schedule any services or procedures as needed.
    • Maintain/prepare patient charts and physician schedule.
    • Open and close office, if needed.
    • Ensure HIPAA & OSHA guidelines are followed at all times.
    • Responsible for observing, keeping track of the flow of patients in and out of the clinical areas without sacrificing the collection and input of correct demographic and insurance information.
    • Verify front end coordinators are accurately tagging patients and moving them into the clinical area reviewing time management and ease of check in.
    • Reviewing back end coordinators, making sure they are expeditiously coordinating the care of patients by capturing and executing through GEMMS all post encounter orders.
    • Ensuring that patients are accurately registered and that all proper paperwork has been filled out completely and any waivers and/or copays have been completed and collected.
    • Verifying monies are entered into the GEMMS (or Power Works program as necessary) and review daily payments reconciling to actual monies posted for daily deposit

city: Setauket

Essential Job Functions:

    • Perform all necessary receptionist duties including answering, screening and
    • Routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
    • Be polite and courteous at all times.
    • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
    • Greet and register each patient as they arrive.
    • Verify patient demographics and insurance information into the EMR.
    • Collect any necessary co-payments.
    • Notify the provider/staff of patients? arrival.
    • Schedule patient appointments.
    • Schedule any services or procedures as needed.
    • Maintain/prepare patient charts and physician schedule.
    • Open and close office, if needed.
    • Ensure HIPAA & OSHA guidelines are followed at all times.
    • Responsible for observing, keeping track of the flow of patients in and out of the clinical areas without sacrificing the collection and input of correct demographic and insurance information.
    • Verify front end coordinators are accurately tagging patients and moving them into the clinical area reviewing time management and ease of check in.
    • Reviewing back end coordinators, making sure they are expeditiously coordinating the care of patients by capturing and executing through GEMMS all post encounter orders.
    • Ensuring that patients are accurately registered and that all proper paperwork has been filled out completely and any waivers and/or copays have been completed and collected.
    • Verifying monies are entered into the GEMMS (or Power Works program as necessary) and review daily payments reconciling to actual monies posted for daily deposit

RN Supervisor- Cardiology Job – NY, East Setauket

The Registered Nurse collaborates with the Cardiologists in an office setting.

Essential Job Functions:

  • The Nuclear Registered Nurse Supervisor will use organizational, clinical, communication and problem solving skills to assist in managing the patient workflow on a daily basis.
  • Nurse Supervisor will serve as a role model and clinical expert for the delivery of an advanced level of professional nursing care and provides leadership in developing and maintaining optimal patient care standards in the clinical setting.
  • Obtains medical histories, performs physical examinations, makes diagnosis and orders appropriate laboratory and diagnostic tests.
  • Review test results.
  • Provides patient education about underlying medical condition.
  • Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
  • Performs nursing care, assists with treatments, therapies, procedures, and administers medications as necessary
  • Coordinates management of patient flow and staffing through continuous assessment of volume/acuity needs, utilizing resources available to assist in provision of appropriate staffing resources.
  • Assists in identifying expected outcomes to provide direction for continuity of care/department operations.

city: Setauket

The Registered Nurse collaborates with the Cardiologists in an office setting.

Essential Job Functions:

  • The Nuclear Registered Nurse Supervisor will use organizational, clinical, communication and problem solving skills to assist in managing the patient workflow on a daily basis.
  • Nurse Supervisor will serve as a role model and clinical expert for the delivery of an advanced level of professional nursing care and provides leadership in developing and maintaining optimal patient care standards in the clinical setting.
  • Obtains medical histories, performs physical examinations, makes diagnosis and orders appropriate laboratory and diagnostic tests.
  • Review test results.
  • Provides patient education about underlying medical condition.
  • Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
  • Performs nursing care, assists with treatments, therapies, procedures, and administers medications as necessary
  • Coordinates management of patient flow and staffing through continuous assessment of volume/acuity needs, utilizing resources available to assist in provision of appropriate staffing resources.
  • Assists in identifying expected outcomes to provide direction for continuity of care/department operations.

Lead Medical Assistant-Cardiology Job – NY, East Setauket

The Lead Medical Assistant collaborates with the Medical Assistant Supervisor in an office setting to ensure quality patient care.

Essential Job Functions:

  • Under the direction and supervision of the Medical Assistant Supervisor provides a leadership role amongst the medical assistants.
  • Monitors patient flow
  • Manages maintenance of equipment
  • Orders clinical supplies
  • Runs and scribes for practitioners
  • Set up and care for stress and/or echo-stress test patients
  • Provides assistance with Holter monitors
  • Ensure HIPPA guidelines are always followed.
  • Oversees and coordinates the scribes in the clinical department.
  • Monitor the performance of the department.
  • Maintains and implements all policies and procedures.
  • Willing to take on additional tasks/work while continuing to manage daily workflow.
  • Assist Supervisor with any and all tasks related to the medical assistants as needed.
  • Be a liaison to the supervisor for any medical assistant issues.
  • Performs other related duties, which may be inclusive, but not listed in the job description.
  • Must travel to all NSC sites.
  • All other duties as assigned.

city: Setauket

The Lead Medical Assistant collaborates with the Medical Assistant Supervisor in an office setting to ensure quality patient care.

Essential Job Functions:

  • Under the direction and supervision of the Medical Assistant Supervisor provides a leadership role amongst the medical assistants.
  • Monitors patient flow
  • Manages maintenance of equipment
  • Orders clinical supplies
  • Runs and scribes for practitioners
  • Set up and care for stress and/or echo-stress test patients
  • Provides assistance with Holter monitors
  • Ensure HIPPA guidelines are always followed.
  • Oversees and coordinates the scribes in the clinical department.
  • Monitor the performance of the department.
  • Maintains and implements all policies and procedures.
  • Willing to take on additional tasks/work while continuing to manage daily workflow.
  • Assist Supervisor with any and all tasks related to the medical assistants as needed.
  • Be a liaison to the supervisor for any medical assistant issues.
  • Performs other related duties, which may be inclusive, but not listed in the job description.
  • Must travel to all NSC sites.
  • All other duties as assigned.

Nurse Practitioner/ Physician Assistant- NSC Job – NY, East Setauket

The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.

Hours:Full time, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.

Job Functions:

Under the direction and supervision of a licensed physician, provides cardiac care to patients.

Perform comprehensive inpatient/outpatient visits which include:

Outpatient:

  • Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
  • Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
  • Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
  • Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
  • Maintain clinical documentation according to group practice.
  • Educates patients and families on treatment and wellness care plans

Inpatient:

  • Conducts comprehensive health history and physical assessment of patients with acute health problems.
  • Performs admission history and physical, develops, manages and modifies treatment plans.
  • Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
  • Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
  • Discharges hospitalized patients at the direction of the attending physician.
  • Prepares and dictates discharge summaries of patients hospitalization and clinic care.
  • Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.

city: Setauket

The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.

Hours:Full time, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.

Job Functions:

Under the direction and supervision of a licensed physician, provides cardiac care to patients.

Perform comprehensive inpatient/outpatient visits which include:

Outpatient:

  • Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
  • Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
  • Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
  • Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
  • Maintain clinical documentation according to group practice.
  • Educates patients and families on treatment and wellness care plans

Inpatient:

  • Conducts comprehensive health history and physical assessment of patients with acute health problems.
  • Performs admission history and physical, develops, manages and modifies treatment plans.
  • Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
  • Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
  • Discharges hospitalized patients at the direction of the attending physician.
  • Prepares and dictates discharge summaries of patients? hospitalization and clinic care.
  • Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.

Exercise Stress Physiologist – Nuclear Medicine/ICR Job – NY, East Setauket

Fast paced, large cardiology practice with multiple locations. The applicant should have 1 year minimum of cardiac experience. Certified Exercise Physiologist or eligible to take the exam within one year of hire.

JOB SUMMARY:

Fast paced, large cardiology practice with multiple locations. The applicant should have 1 year minimum of cardiac experience. Certified Exercise Physiologist or eligible to take the exam within one year of hire.

  • Candidate for this position will perform diagnostic cardiovascular stress testing
  • Must have the ability to interpret and analyze exams, following protocols to provide a preliminary report of findings to the physician
  • Will have an independent schedule and should be familiar with day-to-day operations.
  • Other additional duties as needed

city: Setauket

Fast paced, large cardiology practice with multiple locations. The applicant should have 1 year minimum of cardiac experience. Certified Exercise Physiologist or eligible to take the exam within one year of hire.

JOB SUMMARY:

Fast paced, large cardiology practice with multiple locations. The applicant should have 1 year minimum of cardiac experience. Certified Exercise Physiologist or eligible to take the exam within one year of hire.

  • Candidate for this position will perform diagnostic cardiovascular stress testing
  • Must have the ability to interpret and analyze exams, following protocols to provide a preliminary report of findings to the physician
  • Will have an independent schedule and should be familiar with day-to-day operations.
  • Other additional duties as needed

Call Center Representative Job – NY, East Setauket

Job Summary:

Act as a central point of communication among providers, patients and other team members of our team. Incumbent schedules patients for provider appointments and diagnostic testing utilizing knowledge of medical terminology and practice policies and protocols. Troubleshoots patient concerns and routes calls to the appropriate staff member when needed.

Essential Job Functions:

  • Answer large volume of calls promptly.
  • Screen all calls for urgency and handle all calls with confidence, compassion and efficiency.
  • Schedules patient appointments and diagnostic testing for all providers.
  • Collect and verify patient demographic information as well as verify insurance when appropriate.
  • Accurately records patient messages and routes them to the provider or appropriate team member.
  • Reviews and maintains providers schedules according to practice guidelines to ensure patients are scheduled appropriately.

city: Setauket

Job Summary:

Act as a central point of communication among providers, patients and other team members of our team. Incumbent schedules patients for provider appointments and diagnostic testing utilizing knowledge of medical terminology and practice policies and protocols. Troubleshoots patient concerns and routes calls to the appropriate staff member when needed.

Essential Job Functions:

  • Answer large volume of calls promptly.
  • Screen all calls for urgency and handle all calls with confidence, compassion and efficiency.
  • Schedules patient appointments and diagnostic testing for all providers.
  • Collect and verify patient demographic information as well as verify insurance when appropriate.
  • Accurately records patient messages and routes them to the provider or appropriate team member.
  • Reviews and maintains provider?s schedules according to practice guidelines to ensure patients are scheduled appropriately.

Cardiac Technician Job – NY, East Setauket

The employee will be under the general supervision of and report directly to the EP/Device clinic Supervisor. This clinical position requires direct patient contact and the performance of a variety of functions related to the care, education, and maintenance of patients with implanted cardiac devices. ( pacemakers, implanted cardiac defibrillators, and Loop recorders) as well as external cardiac recorders (Holter monitors, MCOTS, EVENT recorders, and Loop recorders) and external temporary cardiac defibrillators.

Essential Job Functions:

  • -Obtains vital signs and pertinent patient history, medication review
  • -Attaches patient to the appropriate programmer to initiate interrogation process
  • -Provides appropriate education regarding home care, routine precautions and F/U of patients individual device.
  • -Able to educate and instruct patients on use of home monitoring devices.
  • -Able to log on to and order equipment through websites.
  • -Able actively participate in downloading and maintenance of remote monitoring websites, reporting any alert status directly to the Supervising NP/RN/M
  • -Able to call device manufacturers/ representatives for information when required.
  • -Able to perform a Trans-telephonic telephone check.
  • – Will be able to perform arrhythmia analysis of Holter, Event, and MCOT monitors and Loop recorders.
  • -Will remain current with new technology as it becomes available. Attends educational programs as
  • -Required to maintain current with new devices, procedures, and patient education requirements.
  • -Schedule patient appointments within established guidelines.
  • -Will maintain appropriate documentation in the patients EMR, chart.
  • -Will maintain statistics for the department under the supervision of the NP.
  • -Will follow HIPAA guidelines at all times.

city: Setauket

The employee will be under the general supervision of and report directly to the EP/Device clinic Supervisor. This clinical position requires direct patient contact and the performance of a variety of functions related to the care, education, and maintenance of patients with implanted cardiac devices. ( pacemakers, implanted cardiac defibrillators, and Loop recorders) as well as external cardiac recorders (Holter monitors, MCOTS, EVENT recorders, and Loop recorders) and external temporary cardiac defibrillators.

Essential Job Functions:

  • -Obtains vital signs and pertinent patient history, medication review
  • -Attaches patient to the appropriate programmer to initiate interrogation process
  • -Provides appropriate education regarding home care, routine precautions and F/U of patient?s individual device.
  • -Able to educate and instruct patients on use of home monitoring devices.
  • -Able to log on to and order equipment through websites.
  • -Able actively participate in downloading and maintenance of remote monitoring websites, reporting any alert status directly to the Supervising NP/RN/M
  • -Able to call device manufacturers/ representatives for information when required.
  • -Able to perform a Trans-telephonic telephone check.
  • – Will be able to perform arrhythmia analysis of Holter, Event, and MCOT monitors and Loop recorders.
  • -Will remain current with new technology as it becomes available. Attends educational programs as
  • -Required to maintain current with new devices, procedures, and patient education requirements.
  • -Schedule patient appointments within established guidelines.
  • -Will maintain appropriate documentation in the patient?s EMR, chart.
  • -Will maintain statistics for the department under the supervision of the NP.
  • -Will follow HIPAA guidelines at all times.

Medical Assistant Job – NY , West Islip

General Summary:

Responsible for performing a variety of duties that may be both clinical and administrative tasks. This includes assisting physicians with patient care and handling clerical, environmental and organizational tasks. Expected to provide information to patients so that they benefit from the clinical services.

Essential Functions:

  • Check schedules, organize patient flow, room patients.
  • Collect patient history including medications and reason for visit, chart in EMR, relay information
  • Check vital signs (blood pressure, pulse, temperature), measure height and weight, take EKGs
  • Set up equipment, maintain cleanliness of exam rooms, order supplies, keep exam rooms stocked
  • Assist with minor procedures, handle specimens, do CLIA waived tests
  • Send and receive medical records, obtain Lab & Test Results
  • Ensure patient results are reviewed by physician in a timely manner, provide appropriate followup as directed
  • Follow HIPAA guidelines
  • Other duties as necessary

city: Islip

General Summary:

Responsible for performing a variety of duties that may be both clinical and administrative tasks. This includes assisting physicians with patient care and handling clerical, environmental and organizational tasks. Expected to provide information to patients so that they benefit from the clinical services.

Essential Functions:

  • Check schedules, organize patient flow, room patients.
  • Collect patient history including medications and reason for visit, chart in EMR, relay information
  • Check vital signs (blood pressure, pulse, temperature), measure height and weight, take EKGs
  • Set up equipment, maintain cleanliness of exam rooms, order supplies, keep exam rooms stocked
  • Assist with minor procedures, handle specimens, do CLIA waived tests
  • Send and receive medical records, obtain Lab & Test Results
  • Ensure patient results are reviewed by physician in a timely manner, provide appropriate followup as directed
  • Follow HIPAA guidelines
  • Other duties as necessary

Nurse Practitioner/Physician Assistant Job – New York, Mattituck

The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.

Hours: Seasonal, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.

Job Functions:

Under the direction and supervision of a licensed physician, provides cardiac care to patients.

Perform comprehensive inpatient/outpatient visits which include:

Outpatient:

  • Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
  • Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
  • Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
  • Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
  • Maintain clinical documentation according to group practice.
  • Educates patients and families on treatment and wellness care plans

Inpatient:

  • Conducts comprehensive health history and physical assessment of patients with acute health problems.
  • Performs admission history and physical, develops, manages and modifies treatment plans.
  • Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
  • Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
  • Discharges hospitalized patients at the direction of the attending physician.
  • Prepares and dictates discharge summaries of patients’ hospitalization and clinic care.
  • Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.

city:

The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.

Hours: Seasonal, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.

Job Functions:

Under the direction and supervision of a licensed physician, provides cardiac care to patients.

Perform comprehensive inpatient/outpatient visits which include:

Outpatient:

  • Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
  • Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
  • Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
  • Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
  • Maintain clinical documentation according to group practice.
  • Educates patients and families on treatment and wellness care plans

Inpatient:

  • Conducts comprehensive health history and physical assessment of patients with acute health problems.
  • Performs admission history and physical, develops, manages and modifies treatment plans.
  • Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
  • Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
  • Discharges hospitalized patients at the direction of the attending physician.
  • Prepares and dictates discharge summaries of patients’ hospitalization and clinic care.
  • Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.

Nurse Practitioner/Physician Assistant Job – New York, Greenport

The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.

Hours: Seasonal, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.

Job Functions:

Under the direction and supervision of a licensed physician, provides cardiac care to patients.

Perform comprehensive inpatient/outpatient visits which include:

Outpatient:

  • Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
  • Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
  • Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
  • Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
  • Maintain clinical documentation according to group practice.
  • Educates patients and families on treatment and wellness care plans

Inpatient:

  • Conducts comprehensive health history and physical assessment of patients with acute health problems.
  • Performs admission history and physical, develops, manages and modifies treatment plans.
  • Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
  • Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
  • Discharges hospitalized patients at the direction of the attending physician.
  • Prepares and dictates discharge summaries of patients’ hospitalization and clinic care.
  • Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.

city: Greenport

The Nurse Practitioner/Physician Assistant to work collaboratively with cardiologists in an inpatient and outpatient setting.

Hours: Seasonal, must be able to rotate at the hospital, rotate weekends & must have availability to be on call.

Job Functions:

Under the direction and supervision of a licensed physician, provides cardiac care to patients.

Perform comprehensive inpatient/outpatient visits which include:

Outpatient:

  • Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or cardiac patients with potential health problems.
  • Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
  • Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
  • Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
  • Maintain clinical documentation according to group practice.
  • Educates patients and families on treatment and wellness care plans

Inpatient:

  • Conducts comprehensive health history and physical assessment of patients with acute health problems.
  • Performs admission history and physical, develops, manages and modifies treatment plans.
  • Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
  • Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
  • Discharges hospitalized patients at the direction of the attending physician.
  • Prepares and dictates discharge summaries of patients’ hospitalization and clinic care.
  • Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.