Brecksville, OH 44141 • (6.1 miles) • Full Time • 9/12/2026

Lab TechnicianLocation: BrecksvillePay Rate: $18.54/hourJob OverviewWe are seeking a detail-oriented Lab Technician with a strong chemistry focus to perform laboratory testing, chemical analysis, sample preparation, and data collection in a fast-paced industrial environment. The ideal candidate will have experience or education in Chemistry, Chemical Technology, Laboratory Science, or a related field, along with strong attention to detail, documentation, and laboratory safety.ResponsibilitiesPrepare and process laboratory samples for testingPerform routine testing and inspections according to established proceduresRecord and document test results accuratelyMaintain laboratory equipment and assist with basic troubleshootingFollow all safety, quality, and compliance standardsOrganize and lab

Cleveland, OH • (14.6 miles) • Full Time • 9/12/2026

Clinical Manager - Behavioral HealthPosition SummaryThe Clinical Manager provides leadership and oversight for Pathway Caring for Children’s behavioral health and mental health services. This position provides clinical supervision, program management, staff development, quality oversight, and regulatory compliance while supporting the delivery of high-quality, trauma-informed services to children and families.The Clinical Manager works closely with licensed mental health professionals, therapists, clinical staff, agency leadership, and community partners to ensure effective and responsive behavioral health services.Essential Duties and ResponsibilitiesClinical LeadershipProvide clinical supervision and guidance to behavioral health clinicians, therapists, counselors, case managers, and sup

Westlake, OH 44145 • (24.3 miles) • Full Time • 9/12/2026

Position Overview: A full-time Medical Aesthetics Nurse provides specialized nursing care and cosmetic treatments to enhance patients' appearance and boost their confidence. Work alongside the pratice physican to learn all about Revital Medical Aesthetics' approach to skin health in combination with Dr. Obaji's skin health philosophy. This role combines clinical expertise with aesthetic procedures, ensuring safety, efficacy, and patient satisfaction.Key Responsibilities:Perform device and skin based aesthetic treatments.Educate patients on pre- and post-procedure care.Maintain detailed patient records and documentation.Ensure compliance with healthcare regulations and clinic policies.Assist in managing inventory and ordering medical supplies.Stay updated on the latest trends and advancemen

Avon, OH 44011 • (28.5 miles) • Full Time • 9/12/2026

Board Certified Behavior Analyst (BCBA)Building Blocks Therapy – Avon, OHAre you a playful, empathetic, and dedicated BCBA looking for a supportive clinic environment with a truly manageable caseload?At Building Blocks Therapy, we are looking for a Full-Time BCBA (or BCaBA) to join our team in Avon. We pride ourselves on providing compassionate, trauma-informed care and staying up-to-date with modern ABA research. If you are passionate about approaches like NDBI and Dr. Greg Hanley’s SBT/PFA, we want to hear from you!Why You’ll Love Working With Us: We know that preventing burnout is key to providing excellent care. We offer a supportive culture and standout perks:Manageable Caseloads: Cap your caseload at just 8-9 clients.Flexibility: Enjoy 1 flexible Work-From-Home day. 35 hours week.Mak

Canton, OH 44708 • (34.5 miles) • Full Time • 9/11/2026

The Administrative Chemical Dependency Manager is responsible for the operational oversight, compliance management, and performance monitoring of the organization’s substance use disorder (SUD) programs. This role ensures that services are delivered in accordance with state, federal, and payer regulations while supporting quality improvement, staff supervision, and program efficiency.Essential Duties & Responsibilities Overview :Program Oversight to oversee daily operations of substance use treatment services.Compliance & Quality Assurance to ensure adherence to state behavioral health regulations and Medicaid guidelines.Staff Supervision & Leadership to monitor staff productivity and documentation timeliness.Financial & Operational Management to collaborate with executive leadership on st

Garfield Heights, OH • (9.1 miles) • Full Time • 9/11/2026

looking for caring and compassionate employees, we are offering medical and denial alsooffer incentive for referrals for clients.\nCompany DescriptionWe are training our caregivers how to take cave of COVID19 patients.Company DescriptionWe are training our caregivers how to take cave of COVID19 patients.

Cleveland, OH • (14.6 miles) • Full Time • 9/11/2026

Patient Evaluation:Review medical histories, conduct initial assessments, and diagnose movement and functional limitations.[1,2]Treatment Planning:Develop individualized care plans outlining specific recovery goals, expected outcomes, and treatment timelines.[1,2]Therapeutic Interventions:Guide patients through prescribed stretches, strength training, and functional movements. Use hands-on manual therapy techniques and specialized equipment to facilitate healing.[1,2,3,4]Progress Monitoring:Track patient recovery, adjust treatment modalities as needed, and coordinate with physicians to ensure optimal outcomes.Patient Education:Instruct patients and their families on proper at-home exercises, injury prevention techniques, and lifestyle modifications.Documentation:Maintain accurate, timely p

Strongsville, OH • (17.3 miles) • Full Time • 9/11/2026

Dental HygienistStrongsville Dental & Laser Aesthetics $10,000 Sign On Bonus Full-time/Part-time Accepting New Grads!Why Strongsville Dental & Laser Aesthetics Dental?Heartland Dental is the nation's largest dental support organization, providing non-clinical administrative support services to more than 3,000 supported doctors across 39 states and the District of Columbia in 1,900+ dental offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the clinical leaders of their practice, retain full clinical autonomy, and establish their own care philosophies. All Heartland Dental supported doctors and hygienists are united by a common goal: delivering the highest quality dental care and patient experiences.Hygienists in CT,

Medina, OH • (22.9 miles) • Full Time • 9/11/2026

We are looking to add another hygienist to our current team. We schedule 60 minutes for adult prophys / perio maintenance and 1.5-2hrs for SRP which is determined by the evaluating hygienist.Benefits include: PTO, 401k, contribution to healthcare, dental benefits for employee and immediate family, bonus program is being developed. If you are friendly, compassionate and a team player,you would be a great addition to our team!

Westlake, OH 44145 • (24.3 miles) • Full Time • 9/11/2026

Join Our Growing Team!We are a small, woman-owned optometry practice dedicated to providing exceptional eye care in a warm, welcoming environment where both our patients and team members feel like family. As a growing private practice, we're building more than an officewe're creating a culture centered on compassion, collaboration, and personalized care.We're looking for a friendly, knowledgeable, and motivated Optician who is passionate about helping patients see and look their best while delivering an outstanding patient experience. Licensure is not required, but we welcome experienced optical professionals who are eager to grow with our practice.This is an excellent opportunity for someone who enjoys working in a close-knit team, thrives in a dynamic environment, and wants to play an im

Westlake, OH • (24.3 miles) • Full Time • 9/11/2026

Join Our Team at Face to Face Spa – Promenade at Crocker!Face to Face Spa is a premier medi-spa offering high-end services and luxurious client experiences. We specialize in medical-grade facials, chemical peels, eyelash extensions, facial waxing, dermaplaning, microneedling, and more.We are currently hiring full-time Licensed Estheticians for our Promenade at Crocker, Strongsville, Mayfield, & Cuyahoga Fallslocations!Why Work With Us?Work in a beautiful, high-end spa environmentAccess to generous spa discountsOngoing professional growth and developmentBe part of a supportive, professional teamWhat We’re Looking For:We are seeking Licensed Estheticians who are passionate about skincare and client care. Candidates must have a natural sales ability, as recommending professional homecare prod

Canton, OH • (35.7 miles) • Full Time • 9/11/2026

PAY RATE IS BASED STRICTLY ON a valid driver's license, auto insurance, reliable vehicle, certifications, and experience.PART-TIME- ******** individual has requested female staff only *******2 PM-10 PM MONDAY- FRIDAY AND EVERY OTHER WEEKEND 8 AM-8 PMOverview:We are seeking a caring, dedicated Direct Support Professional to join our team. As a Direct Support Professional, you will play a vital role in offering care and assistance to individuals with developmental disabilities. Your main focus will be on aiding clients with daily living tasks, fostering their independence, and ensuring their overall welfare.Responsibilities:- Provide hands-on care and support to individuals with developmental disabilities- Assist clients with personal hygiene routines and grooming practices- Implement behavi

Vermilion, OH • (43.2 miles) • Full Time • 9/11/2026

Bliss Skin Spa in Vermilion is seeking a skilled and passionate Licensed Massage Therapist to join our team. The ideal candidate is professional, dependable, and dedicated to providing exceptional client care. You'll be responsible for delivering customized massage services that promote relaxation, pain relief, and overall wellness, while maintaining the highest standards of cleanliness and professionalism.

Shaker Heights, OH • (11.3 miles) • Full Time • 9/11/2026

Must have Experience working as a Phlebotomist.FloatR is a startup company transforming the healthcare industry by providing phlebotomists with flexible job opportunities through our easy-to-use app. Labs and clinics post job openings, and phlebotomists can review and accept or reject them at their convenience.Responsibilities:-Perform venipuncture and capillary draws for patients in clinical or home settings.-Ensure patient comfort and address concerns during procedures.-Label and process blood samples according to established protocols.-Follow safety and hygiene standards at all times.-Maintain accurate records of blood collection activities.-Communicate effectively with patients and healthcare providers to ensure the smooth operation of appointments.-Stay up-to-date with state and local

Cleveland, OH 44124 • (12.9 miles) • Full Time • 9/11/2026

Schedule Hours: 35-40 Hrs/WeekPosition Summary :Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients.The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients.This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning.Duties :Provide Primary and Family evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients.Provide administrative duties to include but not limited to opening/closing the clinic, inventory, patient follow up, verifying insurance and collecting payment, m

Cleveland, OH • (14.6 miles) • Full Time • 9/11/2026

CapHome, LLC is seeking qualified, compassionate, dependable, and professional Registered Nurses (RNs)& Licensed Practical Nurses (LPNs) to provide high-quality nursing and client-care services in accordance with applicable professional standards, the client's care plan, and CapHome policies and procedures.Nursing professionals are responsible for providing safe, competent, and client-centered care in accordance with their applicable professional license, education, training, scope of practice, applicable laws and regulations, client care plans, and CapHome policies and procedures.The RN or LPN is expected to exercise appropriate professional judgment and perform only those services authorized within the scope of their respective license and qualifications.\nCompany DescriptionWe carefully

Akron, OH • (16.3 miles) • Full Time • 9/11/2026

Married Life Counseling | West AkronPractice Manager (30+ hrs/week)Married Life Counseling is a growing, relationship-centered counseling practice serving couples, individuals, and families. Our mission is to help people build secure, loving, emotionally connected relationshipsand we believe how we work together matters just as much as the work we do.We are seeking a Practice Manager who brings warmth, organization, follow-through, and heart to our daily operations. This role is ideal for someone who enjoys supporting a team, keeping systems running smoothly, and serving as a steady, focused, empathic presence in a meaningful workplace.Schedule & Pay30+ hours per weekPrimarily in-office$18/hour for first 90 days, increasing to $20/hour after successful reviewConsistent availability during

Medina, OH 44256 • (22.3 miles) • Full Time • 9/11/2026

Make Smiles. Make a Difference. Join Our Team.Upbeat Orthodontics is looking for a friendly, energetic, and detail-oriented Orthodontic Assistant to join our team! If you love creating confident smiles and enjoy working in a fun, supportive, team-focused environment, we'd love to meet you.YOUR ROLEAs an Orthodontic Assistant, you'll play a vital role in providing outstanding patient care and ensuring a smooth, comfortable experience for every patient. Responsibilities include:Prepare operatories and sterilize instrumentsAssist the doctor during patient exams and proceduresTake and record patient X-rays and photographsPlace and remove orthodontic appliances and archwiresEducate patients on oral hygiene and appliance careMaintain accurate patient records and chartingProvide exceptional custo

Massillon, OH 44647 • (36.1 miles) • Full Time • 9/10/2026

The Personal Care Assistant (PCA) / Caregiver provides compassionate and attentive support to individuals in their own homes, enhancing their quality of life by assisting with daily activities and personal care. This role focuses on delivering moderate to minimal physical assistance, promoting comfort, safety, and independence while building trusting relationships with clients and their families. The position operates primarily during day shifts, including evenings, weekends, and occasional on-call hours, with some travel between multiple clients.ResponsibilitiesAssist with personal hygiene and basic activities of daily living (ADLs)Provide medication reminders to ensure timely adherenceSupport client mobility and physical comfortPrepare meals according to client dietary needsOffer compani

Wooster, OH 44691 • (43.1 miles) • Full Time • 9/10/2026

Patient Care Coordinator – Front Office Staff Position Cleartone Hearing Aid Service in Wooster, OH is in search of a Patient Care Coordinator. This is a full-time opportunity which offers a competitive hourly wage, a professional atmosphere, and an opportunity to make a difference in the community. At Cleartone, we’re committed to helping our patients improve their hearing and quality of life. Our staff engages with patients and their families, personalizing their experience to create a comfortable, warm atmosphere. Our environment is lively, rewarding, and challenging. We believe in always fostering, supporting, and incentivizing our staff’s personal, professional and financial growth through the practice. As one of our team members, we will be committed and dedicated to your success. Th

Macedonia, OH • (0 miles) • Full Time • 9/10/2026

$15,000 Welcome BonusDental Hygienist Macedonia Dental Arts Full-Time & Part-Time FlexibilityWhy Macedonia Dental Arts?As an elite clinical provider and patient advocate, you’ll receive best in class non-clinical support to provide exceptional lifetime patient care while obtaining unparalleled education to enhance your clinical skills. You’ll work in an environment that encourages full clinical autonomy, giving your patients the time and attention they need, with the ability to tap into a hygiene mentor program. You’ll work a schedule that inspires work life balance and receive competitive benefits. Provide outstanding patient care, invest in your community, and do it all with the support of Heartland Dental.As a Dental Hygienist, you’ll be recognized as an elite clinical provider and pati

Macedonia, OH 44056 • (0 miles) • Full Time • 9/10/2026

Part-Time Phlebotomist Macedonia, OH Any Lab Test Now and ARCpoint Labs of Macedonia is hiring a part-time phlebotomist for 15–20 hours per week. Looking for additional hours around a job you already have? We're hiring 15–20 hours a week, including a Saturday shift of 5–6 hours plus weekday daytime hours. No nights, no holidays, no on-call. If you work a standard weekday schedule, a hospital rotation, or 12-hour shifts, this fits alongside it and hours with a separate employer don't affect your overtime status at your primary job. What You'll Do- Venipuncture and capillary draws on adults and children - Urine, oral fluid, and hair specimen collections, including DOT-regulated drug screens - Maintain chain of custody documentation - Check in clients, answer phones, schedule appointments - P

Brecksville, OH 44141 • (6.1 miles) • Full Time • 9/10/2026

Role Overview:Insight Global is working with a growing leader in the medical device space to identify a Product Manager to join their team in an onsite, direct-hire role. This individual will be driving product strategy, market intelligence, and growth initiatives across its product portfolio. The ideal candidate is naturally curious, analytical, and strategic. They enjoy answering questions such as:What products should we develop next?What do customers need that isn't currently being addressed?Where are the biggest growth opportunities?How can we strengthen our competitive position?This role is ideal for a data-driven professional who enjoys connecting customer needs, market opportunities, and business strategy to help shape the future of innovative healthcare products. The Product Manage

Cleveland, OH 44120 • (11.7 miles) • Full Time • 9/10/2026

Our Mission:The Black Mental Health Corporation strives to provide excellent, quality mentalhealth care to underserved communities. It is the goal of The Black Mental Health Corporation torebuild these communities, one family, at a time through excellent mental health and socialassistance services.Our History:TBMHC was created by Desmond Yanamayu with people of color in mind, afterrealizing this diverse population experienced challenges and struggles that were unique frommany other racial/ethnic groups. Because of this, he wanted to create a space where black peoplecould feel comfortable getting counseling with someone who understood issues specificallyrelated to them. Even still, The Black Mental Health Corporations’ services are open to peopleof all ethnicities and racial backgrounds.1.

Cleveland, OH • (14.6 miles) • Full Time • 9/10/2026

Labor and Delivery Nurses help bring people into the world every day. They care for women during labor and childbirth, monitoring the baby and the mother, coaching mothers and assisting doctors. As a Labor and Delivery Nurse, you’ll prepare women, and their families, for the stages of giving birth and help patients with breastfeeding after the baby is born.

Cleveland, OH • (14.6 miles) • Full Time • 9/10/2026

A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.

Akron, OH • (16.3 miles) • Full Time • 9/10/2026

A CT Technologist performs diagnostic imaging procedures using computed tomography (CT) equipment to assist physicians in diagnosing and monitoring various medical conditions. They ensure patient safety, produce high-quality images, and maintain imaging equipment in accordance with established protocols

Willoughby, OH • (23.4 miles) • Full Time • 9/10/2026

OR Scrub & Circulate professionals bring two critical skill sets to a single role. Scrubbing in means assisting surgeons directly inside the sterile field during operations managing surgical instruments, maintaining sterile conditions, and anticipating the team's needs to ensure patient safety. Circulating means acting as the operating room's safety net and coordinator managing counts, documentation, positioning, and communication so the surgical team can stay focused on the patient. This dual competency gives surgical departments greater staffing flexibility and continuity across cases.

Canton, OH • (35.7 miles) • Full Time • 9/10/2026

A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.

Solon, OH • (5.8 miles) • Full Time • 9/9/2026

Unlock your full potential in the innovative and inclusive environment at Bryant & Stratton College. We are a career-focused, private, nonprofit college built differently to serve the needs of students, alumni, associates, employers, and the community. Founded in 1854, Bryant & Stratton College offers real-world education leading to bachelor's, associate's, and professional certificates after completion in the fields of healthcare, technology, legal, business, graphic design, and more.Bryant & Stratton College is hiring Nursing Adjunct Clinical Professors in Ohio!Come join a growing and innovative higher education institution that values you! Bryant & Stratton College offers a professional and rewarding work environment, with a direct impact on our students and their success.Bryant & Strat

Brecksville, OH • (6.3 miles) • Full Time • 9/9/2026

Are you a Licensed Massage Therapist?We are a multidisciplinary wellness office looking to add another massage therapist to our team. We are looking for someone who is passionate about health and wellness and interested in using their skills to help people overcome pain and return to doing the things they love. Our patients generally receive a combination of Physical Therapy, Massage Therapy, Acupuncture, Dry Needling, Nurse Practitioner,and Chiropractic treatment.If you would like to work with a great team of providers who love to help people while working in an upbeat and fun environment then we would love to meet you!Position Details:- Schedule: Monday, Wednesday, and Thursday 8 am-1 pm and 3 pm-6 pm; Tuesday and Friday 8 am-12:30 pm- Location: Brecksville, OhioWhy Join?- Collaborate wi

Cleveland, OH 44109 • (13.6 miles) • Full Time • 9/9/2026

This part-time contract opportunity invites a licensed Ohio pharmacist to join a respected Cleveland health system’s flu clinic efforts this fall. The role involves administering flu vaccinations at multiple onsite corporate clinics across East and West Cleveland. This assignment offers a flexible schedule perfect for a local pharmacist with immunization certification seeking supplemental income over an eight-week period.Location: Various client sites, East and West sides of Cleveland, OhioEmployment Type: Part-Time ContractStart Date: September 24, 2026Duration: 8 weeksSchedule Details:1 to 2 days per week2 to 7 hours per site visitNo guaranteed days or minimum hoursVariable weekly assignments based on client demandRequires flexibility and availability on short noticeKey Responsibilities:

Rocky River, OH • (21.3 miles) • Full Time • 9/9/2026

General Dentist seeking a full time hygienist to join a fun, fast paced family dental practice in Rocky River, OH. Must be fully licensed to apply. Hours: Monday, Tuesday, Thursday 8-5pm, Wednesday 7-3pm. Closed Friday-Sunday. Benefits include PTO, Sick Days and 401k matching program once vested.

Painesville, OH 44077 • (30.5 miles) • Full Time • 9/9/2026

Part-Time Lymphedema Therapist (CLT), Can Be Physical or Occupational Therapist (we may assist with obtaining Lymphedema Therapy Certification)Join Our Growing Vein, Wound & Lymphedema PracticeWe are seeking a compassionate and motivated (PT or OT), preferably Certified Lymphedema Therapist (CLT) to join our established outpatient medical practice on a part-time basis. This is an excellent opportunity to help build and grow a dedicated lymphedema program while working in a supportive, patient-centered environment.Position Responsibilities Evaluate and treat patients with lymphedema and related swelling disorders Develop individualized treatment plans Perform Complete Decongestive Therapy (CDT), including manual lymphatic drainage, compression bandaging, exercise instruction, and patient ed

Brecksville, OH 44141 • (6.1 miles) • Full Time • 9/9/2026

Searching for a new team member!Listed pay is to START ONLY based upon experience and qualifications such as, practicing unsupervised, able to inject, etc. Expect pay to increase with time.Looking for a Registered Dental Hygienist with some experience and all updated employment requirements that is interested in joining our team!Uniforms provided. For full time: 401k with matching, vacation, CE, Health benefits 100% .All the best & Thank You!Job Types: Part-time / Full-timePay: $38.00 - $45.00 per hourPay is every 2 weeksBenefits:DentalHealth insurance (for full time and at 100%)Paid time off (for full time)Retirement plan (for full time)License/Certification:Registered Dental Hygienist (Required)Uniforms

Warrensville Heights, OH • (8.5 miles) • Full Time • 9/9/2026

A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.

Garfield Heights, OH • (9.1 miles) • Full Time • 9/9/2026

A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.

Mayfield Heights, OH • (14.2 miles) • Full Time • 9/9/2026

Intensive care unit (ICU) staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the critical care unit of a hospital or healthcare facility and look after patients who have experienced invasive surgery, accidents, trauma or organ failure.

Mayfield Heights, OH • (14.2 miles) • Full Time • 9/9/2026

Surgical Assistant – Plastic Surgery Job Type: PRNLocation: Mayfield Heights, OhioSchedule: PRN, typically 1 day per week - No weekends or holidays, room for growthAbout UsCPSI Surgery Center is a state-of-the-art, AAAHC-accredited outpatient surgery center specializing in plastic surgery. Our team is dedicated to providing exceptional, patient-centered care in a supportive and collaborative environment. We're seeking a skilled and compassionate PRN Surgical Assistant to join our growing team.Position SummaryThe Surgical Assistant works directly with our plastic surgeons to provide hands-on support before, during, and after surgical procedures. This role is essential to ensuring smooth operations, patient safety, and a high standard of surgical care in an aesthetic surgery setting.Key Resp

Cleveland, OH • (14.6 miles) • Full Time • 9/9/2026

A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.

Cleveland, OH • (14.6 miles) • Full Time • 9/9/2026

TeamHealth has an exciting opportunity for a full-time emergency medicine physician to be based in the Cleveland metropolitan area and work clinical hours in Ohio, West Virginia, or Wisconsin. Your travel will be paid for you as you work 12-hour shifts at our hospitals for extended periods of time. This is an excellent opportunity for a graduating emergency medicine resident with community health experience or a current practicing physician, who wants to maximize their work/life balance with a 10-day per month work schedule. You will enjoy our concierge travel support to assist with your travel arrangements. This is a full-time, independent contractor position with guaranteed shifts. Candidates must be ABEM or AOBEM certified, emergency medicine (EM) residency trained, or primary care trai