About AI & Analytics: Artificial intelligence (AI) and the data it collects and analyzes will soon sit at the core of all committed, human-centric businesses. By decoding customer needs, preferences, and behaviors, our clients can understand exactly what services, products, and experiences their consumers need. Within AI & Analytics, we work to craft the futurea future in which trial-and-error business decisions have been replaced by informed choices and data-supported strategies. By applying AI and data science, we help leading companies to prototype, refine, validate, and scale their AI and analytics products and delivery models. Cognizant’s AIA practice takes insights that are buried in data, and provides businesses a clear way to transform how they source, interpret and consume their information. Our clients need flexible data structures and a streamlined data architecture that quickly turns data resources into informative, meaningful intelligence. Job Summary: We are seeking a highly experienced Principal Architect with 14 to 18 years of experience to join our dynamic team. The ideal candidate will have extensive expertise in Informatica MDM Entity360 and IDD, Informatica Active VOS, Data Management Functional, MDM Architecture, and Informatica MDM Hub Console. This hybrid role requires a strategic thinker who can drive data management initiatives and contribute to the companies growth and societal impact. Experience: 14to18yrs Required Skills: Technical Skills : Informatica MDM Hub Console, MDM Architecture, Data Management Functional, Informatica Active VOS,v InformaticaMDM Entity360 & IDD Technology: Master Data Management Responsibilities: Lead the design and implementation of MDM solutions using Informatica MDM Entity360 and IDD.Oversee the development and maintenance of Informatica Active VOS workflows to ensure seamless data integration.Provide strategic direction for data management initiatives, ensuring alignment with business objectives.Collaborate with cross-functional teams to define and implement MDM architecture best practices.Ensure the efficient operation of the Informatica MDM Hub Console, optimizing performance and reliability.Develop and enforce data governance policies to maintain data quality and integrity.Conduct regular assessments of data management processes to identify areas for improvement.Drive the adoption of new technologies and methodologies to enhance data management capabilities.Mentor and guide junior team members, fostering a culture of continuous learning and development.Coordinate with stakeholders to gather requirements and translate them into technical solutions.Monitor industry trends and advancements in MDM technologies to keep the company at the forefront of innovation.Ensure compliance with regulatory requirements and industry standards in all data management activities.Provide regular updates to senior management on the progress and impact of data management projects. Qualifications Possess extensive experience in Informatica MDM Entity360 and IDD.Demonstrate proficiency in Informatica Active VOS and its application in data integration.Exhibit strong knowledge of data management functional principles and practices.Showcase expertise in MDM architecture design and implementation.Have hands-on experience with the Informatica MDM Hub Console.Display excellent problem-solving skills and the ability to think strategically.Possess strong communication and collaboration skills to work effectively with cross-functional teams.Demonstrate a commitment to continuous learning and staying updated with industry trends.Show a track record of successfully leading data management projects.Exhibit a strong understanding of data governance and compliance requirements.Have a proven ability to mentor and develop junior team members.Display a proactive approach to identifying and addressing data management challenges.Possess a strong focus on delivering high-quality results that align with business objectives. #LI-NC1 Applications will be accepted until 12/6/2024. The annual salary for this position is between $141,000.00 – $166,000.00 depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans. Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: Medical/Dental/Vision/Life InsurancePaid holidays plus Paid Time Off401(k) plan and contributionsLong-term/Short-term DisabilityPaid Parental LeaveEmployee Stock Purchase Plan Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Physical Therapist Key information: Title: Physical TherapistLocation/work environment: In facilityReporting structure: Reporting to Director of Rehab Powerback is proud to offer a comprehensive and unique benefits package for those candidates that are qualified, including health insurance benefits, 401k, paid time off, clinical support network, online CEUs, on-demand pay, Visa or Green Card sponsorship, and more! Select benefits are available to part time and PRN employees as well! About the job As a Physical Therapist, you help patients get well. You are the person who can bring their power back. In doing this, you will assess patient needs, develop their recovery plans, and deliver physical therapy. You're a healer and a helper, which is why you got into this line of work. You're equally adept at addressing the whole patient and seeing them as an individual. You know your goal is the design of a program that will restore, reinforce, and enhance their physical abilities. You're adaptable to the needs of the patient and can find joy in the variety of the work and the settings. You're a teammate and are looking for collaboration with your peers, but you're also happy to make referrals to help your patient get the care they need to thrive. You know that being a Physical Therapist means you're a teacher who can train patients and caregivers on the skills they need to promote independence and productivity. If this sounds like you, we'd love to meet you! Who is Powerback Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back. It's patient-centered care that provides a sustainable way of feeling better, moving better, breathing better, and living better. Why Now Working in a company that values growth and understands what it means to be a caregiver is refreshing. Our CEO is a former staff therapist. We offer growth, paths forward, and we are committed to patient-centered care. We are growing, stable, and need people like you, who have a calling to help people thrive. Isn't it time for you to work with a team where 86% of them know and feel their work makes a difference So much so, we're certified as a 2023 Great Place to Work. Now is the time for you to join Powerback. What's next Powerback has streamlined our hiring process: Applying takes 3 minutes, give or take.You'll hear back from us within 1 business day.If you meet the qualifications, a recruiter will call you for a 10-minute conversation within 2-3 business days, depending on your availability.You will then be presented to the hiring managerThe hiring manager will reach out within a business day to schedule the interview. ^^ This all happens within 1-5 business days from the phone screen. ^^ After your interview, the hiring manager makes a quick decision. We aim to accomplish this within the week.If the hiring manager wants to move forward, you will hear from us within a business day, because we are excited to get you started! PTH1SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:1. They must have a valid Physical Therapy license in the state(s) of practice, or proof of license and eligibility. 2. They must have a Master's degree in Physical Therapy; or 3. They must have a Master's degree in a Physical Therapy related field in addition to a Bachelor's degree in Physical Therapy; or 4. They must have a Bachelor's degree in Physical Therapy plus 5 years of progressively responsible PT experience. The qualifying Physical Therapy degree earned outside of the U.S. must be evaluated to be the U.S. equivalent to a degree in Physical Therapy.

Position Overview: Pivot/Athletico’s Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective care that emphasizes education and prevention of future injury. We continuously INVEST IN OUR CLINICIANS and demonstrate our Core Values of one team, understanding our business, recognition, being people-focused, accountability, continuous innovation and trust and integrity – all which are the foundation for our awesome culture. Athletico clinicians are involved members of the communities we serve.With competitive salaries, incentive programs, and robust continuing education benefits, Athletico is the place for you.Join us for a conversation to be a part of this awesome team!Position Summary: Our Physical Therapist’s role is to enhance your patient’s health and quality of life. You will be exposed to a culture of teamwork, continuous learning, and growth. Work with a variety of specialties while you grow your skills and your future as a physical therapist! Growth and Learning Benefits offered with this full-time position:Yearly Continuing Education Allowance, access to MedBridge and Athletico University, and an additional 5 days of PTO dedicated towards your Continuing EducationStrategic Mentorship programsLeadership programsGoal of 55 patients per week as an experienced PT and a gradual step- up model for New GradsQuarterly incentives 900 plus locations in 25 states (top notch care since 1991!)Residency Programs and more (Athletico will reimburse 100% of the curriculum costs!)Additional Benefits offered with this full-time position:New for 2024!!!! – Student Loan Repayment Program (30+ hours)Medical, dental and vision (eligibility begins Day One of employment)17 days PTO (accrual starts immediately upon hire)5 CEU PTO Days6 Major Holidays, plus 2 floating holidays yearlyPhysical Therapy/Occupational Therapy benefits as an employeeParental leave and Fertility benefitsPre-Tax & Roth 401k (for 21+) with quarterly company matchPet insuranceWell-being and mental health programs Plus much more!Qualifications:Degree from an accredited Physical Therapy ProgramCurrent professional licensure as a Physical Therapist or license eligible based on the rules and regulations of the state in which you are applying for roleCurrent CPR CertificationAthletico clinicians are energetic and service-minded team players who provide exceptional patient care and service. State licenses must be maintained. All compliance standards must be completed as requested.Click hereto read the full job description.Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Position Overview: Pivot/Athletico’s Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective care that emphasizes education and prevention of future injury. We continuously INVEST IN OUR CLINICIANS and demonstrate our Core Values of one team, understanding our business, recognition, being people-focused, accountability, continuous innovation and trust and integrity – all which are the foundation for our awesome culture. Athletico clinicians are involved members of the communities we serve.With competitive salaries, incentive programs, and robust continuing education benefits, Athletico is the place for you.Join us for a conversation to be a part of this awesome team!Position Summary: Our Physical Therapist’s role is to enhance your patient’s health and quality of life. You will be exposed to a culture of teamwork, continuous learning, and growth. Work with a variety of specialties while you grow your skills and your future as a physical therapist! Growth and Learning Benefits offered with this full-time position:Yearly Continuing Education Allowance, access to MedBridge and Athletico University, and an additional 5 days of PTO dedicated towards your Continuing EducationStrategic Mentorship programsLeadership programsGoal of 55 patients per week as an experienced PT and a gradual step- up model for New GradsQuarterly incentives 900 plus locations in 25 states (top notch care since 1991!)Residency Programs and more (Athletico will reimburse 100% of the curriculum costs!)Additional Benefits offered with this full-time position:New for 2024!!!! – Student Loan Repayment Program (30+ hours)Medical, dental and vision (eligibility begins Day One of employment)17 days PTO (accrual starts immediately upon hire)5 CEU PTO Days6 Major Holidays, plus 2 floating holidays yearlyPhysical Therapy/Occupational Therapy benefits as an employeeParental leave and Fertility benefitsPre-Tax & Roth 401k (for 21+) with quarterly company matchPet insuranceWell-being and mental health programs Plus much more!Qualifications:Degree from an accredited Physical Therapy ProgramCurrent professional licensure as a Physical Therapist or license eligible based on the rules and regulations of the state in which you are applying for roleCurrent CPR CertificationAthletico clinicians are energetic and service-minded team players who provide exceptional patient care and service. State licenses must be maintained. All compliance standards must be completed as requested.Click hereto read the full job description.Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Key information: Title: Occupational TherapistLocation/work environment: In facilityReporting structure: Reporting to Director of Rehab Powerback is proud to offer a comprehensive and unique benefits package for those candidates that are qualified, including health insurance benefits, 401k, paid time off, clinical support network, online CEUs, on-demand pay, Visa or Green Card sponsorship, and more! Select benefits are available to part time and PRN employees as well! About the job As an Occupational Therapist, you help patients get well. You are the person who can bring their power back. In doing this, you will assess patient needs, develop their recovery plans, and deliver occupational therapy. You're a healer and a helper, which is why you got into this line of work. You're equally adept at addressing the whole patient and seeing them as an individual. You know your goal is the design of a program that will restore, reinforce, and enhance their physical abilities and independence. You're adaptable to the needs of the patient and can find joy in the variety of the work and the settings. You're a teammate and are looking for collaboration with your peers, but you're also happy to make referrals to help your patient get the care they need to thrive. You know that being an Occupational Therapist means you're a teacher who can train patients and caregivers on the skills they need to promote independence and productivity. If this sounds like you, we'd love to meet you! Who is Powerback Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back. It's patient-centered care that provides a sustainable way of feeling better, moving better, breathing better, and living better. Why Now Working in a company that values growth and understands what it means to be a caregiver is refreshing. Our CEO is a former staff therapist. We offer growth, paths forward, and we are committed to patient-centered care. We are growing, stable, and need people like you, who have a calling to help people thrive. Isn't it time for you to work with a team where 86% of them know and feel their work makes a difference So much so, we're certified as a 2023 Great Place to Work. Now is the time for you to join Powerback. What's next Powerback has streamlined our hiring process: Applying takes 3 minutes, give or take.You'll hear back from us within 1 business day.If you meet the qualifications, a recruiter will call you for a 10-minute conversation within 2-3 business days, depending on your availability.You will then be presented to the hiring managerThe hiring manager will reach out within a business day to schedule the interview. ^^ This all happens within 1-5 business days from the phone screen. ^^ After your interview, the hiring manager makes a quick decision. We aim to accomplish this within the week.If the hiring manager wants to move forward, you will hear from us within a business day, because we are excited to get you started!They must have a Bachelor's degree in an occupational therapy curriculum accredited by ACOTE standards.They must have initial registration from the National Board for Certification in Occupational Therapy.The Occupational Therapist must hold a valid and unencumbered occupational therapy license as required in the state of practice.

Epic Special Education Staffing is now offering a $2,000 sign-on bonus for a limited time for Speech Language Pathologists!ABOUT USTogether, we are the Epic Special Education Staffing family and family is how we view each member of this incredible community. From our family to the national schools, we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today to join our family.POSITION DESCRIPTIONEpic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Speech Language Pathologist for the 2024 - 2025 school year.Duration: 11/11/2024 - 6/4/2025Location: Lillington, NCLocation Type: On-SiteSchedule: Full TimeHours: 37.5Grade/Age Levels: Elementary School;Middle School;High SchoolBENEFITSEpic Special Education Staffing offers a variety of benefits for you and your loved ones. As a valued and respected part of the Epic Special Education Staffing family, you will enjoy:Starting hourly pay: $32Competitive compensation packages for both local and travel positionsMedical, Dental, and Vision benefitsPTO & Holiday Pay401K matchWeekly payEmployee Assistance ProgramEmployee Wellness ProgramContinuing education reimbursementLicense reimbursementBonus opportunitiesReferral bonus of $1000Our therapists are partnered with advocates and support leaders from day 1, industry exclusive support team in place from day one of assignmentQUALIFICATIONSThe minimum qualifications for School Speech Language Pathologist:1 year of verifiable, professional experience as School Speech Language Pathologist within the last 3 years (may include residency or clinical practicum)Valid School Speech Language Pathologist credential/license or in process in state of practiceEmployees must be legally authorized to work in the United States and will be asked for proof upon hire. We are unable to sponsor or take over sponsorship of an employment Visa at this time.We will consider all qualified applicants for employment, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws.Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, housing, age, disability or genetics.At Epic Special Education Staffing, you will have the opportunity to apply your unique experience and expertise to school-based special education as your singular focus. We offer stimulating and rewarding careers that providean opportunity to make a difference in a child's life while also enhancing your personal and career growth!We appreciate referrals! In fact, 35% of our employees were sent to us by someone they know. Let us help your friends and family find a great place to call home and by doing so, you'll receive a $1,000 referral bonus. Ask your Recruiter to learn more!By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.

Our Company: Abode Care Partners Overview: Are you a licensed nurse practitioner (NP) looking for a new opportunity We are seeking a compassionate NP to join our team!Along with competitive employee benefits and a results-driven compensation structure, you will have the opportunity to grow your medical skills while providing personalized care to seniors and patients with complex needs where they reside.Base salary ranges between $75,000 and $120,000 with total earnings potential reaching $130,000+ with our monthly incentive planbased on performance.Join our team today to begin helping people live their best lives! Responsibilities: Performs evidence-based medical care by planning, directing, and evaluating patient medical needsExamines and treats chronic and urgent episodic illnesses, minor injuries, accidents, and other injuries or illnessesOrders and interprets laboratory and diagnostic testing as needed Collaborates with caregivers and other healthcare professionals in providing interdisciplinary care and maintaining a comprehensive plan of care Provides referrals to other healthcare practitioners when necessaryEnsures patient medical records are kept up to date Qualifications: Active state Nurse Practitioners licenseCurrent Nurse Practitioner National Board CertificationActive state DEA licensureMaster’s degree in Nursing (MSN)Five or more years of nursing experience; at least two years of nurse practitioner experience preferredStrong interpersonal communication skills – verbal and writtenExcellent time management skills with accountability for practitioner’s daily workflowProficiency in medical instruments and equipmentStrong knowledge base of HIPAA and OSHA regulationsDemonstrated proficiency in computer-based data management programs, electronic medical record (EMR) systems, and Microsoft Office applicationsLicensed driver with valid automobile insuranceAbility to engage in moderate physical activity, such as handling objects up to 25 lbs., standing or walking for more than four hours per day, etc. About our Line of Business: Abode Care Partners is a leading provider of integrated medical services caring for individuals from post hospitalization to home in various settings ranging from skilled nursing facilities, assisted living, independent living, group homes, and private homes. We bring quality medical care to seniors, people with complex conditions, special needs, and individuals with intellectual and/or developmental disabilities while increasing quality of life and safeguarding the dignity of those we serve. For more information about Abode Care Partners, visit www.abodecarepartners.com. Additional Job Information: Our comprehensive benefits include:Competitive compensationWeekdays and daytime shifts onlyMileage reimbursement for certain roles and delegated activitiesFlexible scheduleEmployee referral programProfessional licensure reimbursementTuition reimbursement on specific programsPaid time off401(k) retirement savings planMedical, dental and visionLife insuranceFlexible Spending Account (FSA)Employee discountsCME paid time off for SNF-based providers and CME cost reimbursement program*Some benefits may be pro-rated for part-time employment Salary Range: USD $75,000.00 - $130,000.00 / Year

We are hiring a Full-Time or PRNPhysical Therapist! At Cape Fear Valley Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serveit truly is all about helping people. You can find a home for your career here. As a Therapist, you can expect: the ability to build in-person trusted therapist-patient relationships continuing education and tuition reimbursement opportunities independence and autonomy career growth possibilities Give your passion to serve others and your drive for better, more advanced quality healthcare. The Physical Therapist (PT, DPT, RPT) in Home Health is responsible for the assessment and evaluation of patient care needs related to functional status/mobility, endurance/stamina, pain and other medical conditions. Based on this assessment and evaluation, the Physical Therapist works to help determine a treatment plan, performs interventions aimed at improving and enhancing the patient's well-being, and evaluates the patient's progressEvaluates the patient's functional status and physical therapy needs. Assists the physician in the development of the therapy plan of care.Observes and reports the patient's response to treatment and any changes in his/her condition to the supervising nurse and/or the physician.Treats patients to relieve pain, develop and restore function, and / or maintain maximum functioning using acceptable standards of practice.Instructs and informs participating members of the health care team, the patient, and the family/caregivers regarding the plan of care, functional limitations, and progress toward goals.Licensure RequirementsCurrent Physical Therapy licensure in stateof practiceCurrent CPRcertificationMust have a current driver's license and vehicle insurance, and access to a dependable vehicle

We are hiring for a Per DiemSpeech Therapist (SLP). At Cape Fear Valley Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serveit truly is all about helping people. You can find a home for your career here. As a Speech Therapist, you can expect: the ability to build in-person trusted therapist-patient relationshipscontinuing education and tuition reimbursement opportunitiesindependence and autonomycareer growth possibilities Give your passion to serve others and your drive for better, more advanced quality healthcare.The Speech Therapist in Home Health is responsible for the assessment and evaluation of patient care needs related to treating speech and language disorders and functional training in communication, swallowing, and cognitive impairments. Provides services within the scope of practice as defined by the state laws governing the practice of speech therapy, in accordance with the plan of care, and in coordination with other members of the health care team.Evaluates the patient's level of function by applying diagnostic and prognostic functional ability tests. Assists the physician in the development of the therapy plan of care.Treats patients to communicate effectively by expressing thoughts according to the patient's condition using acceptable standards of practice.Instructs the patient, the family and/or caregiver and other members of the health care team in areas of speech therapy in which they can participate. License Requirements Must be currently licensed in Speech Therapy in the stateof North CarolinaCurrent CPRcertificationMust have a current driver's license and vehicle insurance, and access to a dependable vehicle orpublic transportation

Physical Therapist AssistantKey information:Title: Physical Therapist AssistantLocation/work environment: In facilityReporting structure: Reporting to Director of RehabAbout the jobAs a Physical Therapist Assistant, you help patients get well. You are the person who can bring their power back. In doing this, you will implement physical therapy programs and activities, follow developed recovery plans, and deliver therapy treatments.You're a healer and a helper, which is why you got into this line of work.You're equally adept at addressing the whole patient and seeing them as an individual. You know your goal is to execute a program that will restore, reinforce, and enhance their physical abilities.You're adaptable to the needs of the patient and can find joy in the variety of the work and the settings.You're a teammate and are looking for collaboration with your peers, but you're also happy to make referrals to help your patient get the care they need to thrive.You know that being a Physical Therapist Assistant means putting patients first; ensuring patients and their families receive the highest quality of service in a caring and compassionate atmosphere.If this sounds like you, we'd love to meet you!Who is Powerback Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back. It's patient-centered care that provides a sustainable way of feeling better, moving better, breathing better, and living better.Why Now Working in a company that values growth and understands what it means to be a caregiver is refreshing. Our CEO is a former staff therapist. We offer growth, paths forward, and we are committed to patient-centered care. We are growing, stable, and need people like you, who have a calling to help people thrive.Isn't it time for you to work with a team where 86% of them know and feel their work makes a difference So much so, we're certified as a 2023 Great Place to Work.Now is the time for you to join Powerback.What's next Powerback has streamlined our hiring process:1. Applying takes 3 minutes, give or take.2. You'll hear back from us within 1 business day.3. If you meet the qualifications, a recruiter will call you for a 10-minute conversation within 2-3 business days, depending on your availability.4. You will then be presented to the hiring manager5. The hiring manager will reach out within a business day to schedule the interview.^^ This all happens within 1-5 business days from the phone screen. ^^6. After your interview, the hiring manager makes a quick decision. We aim to accomplish this within the week.7. If the hiring manager wants to move forward, you will hear from us within a business day, because we are excited to get you started!SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: 1. Graduate of an accredited Physical Therapist Assistant Program certified by the American Physical Therapy Association. 2. Licensed and/or eligible for licensure as required by the state of practice.