We Value Your Career at Careline Picture yourself happy at work, surrounded by teams and people who are like family. At Careline, purpose is at the heart of our employee experience, empowering you to make a meaningful impact on patients and families during their most intimate intervals of life. We live a simple Mission: serve together, provide value, and deliver exceptional care. Careline is proudly nurse-led, bringing a deep understanding and appreciation of the caregiving profession. Our commitment to excellence has earned us the Great Place to Work Certification for the last four consecutive years. We offer professional development, a supportive culture, and unique benefits designed with your needs in mind. If you're passionate about caring and aspire to grow both personally and professionally, you belong with us at Careline. Exceptional Benefits: Medical, Dental, and Vision Insurance Short-Term Disability, Long-Term Disability and Life Insurance Paid Time Off (PTO) 401(k) Retirement Plan Mileage Reimbursement Company Vehicle Program Cutting Edge Technology Key Responsibilities Careline Hospice Registered Nurses are trained professional nurses who administer skilled nursing care, and case management and provide support to terminally ill patients and their families in a home or facility setting. Hospice Registered Nurses access, plan, coordinate, implement, and evaluate patient care plans. In collaboration with the Hospice Medical Director, the Hospice Registered Nurse leads an Interdisciplinary Team of hospice professionals which may include a Hospice Aide, Medical Social Worker, Chaplin, LPN, Music Therapist, Massage Therapist, and Volunteers in providing all appropriate care for the patient. In this role you will be responsible for: Completing initial evaluation and re-evaluating the patient's nursing needs during each visit. Assuming primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the patient plan of care. Completes assessments specific to the provision of Hospice care, including but not limited to identification of home safety risks, appropriateness of home environment to the delivery of care, availability and capacity of support systems and community resources. Provide appropriate support at the time of death and perform bereavement assessment if requested. Provide positive, supportive communication to physicians, patients, families, facilities, visitors, and other organization personnel. Required Qualifications Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Current State License as a Registered Nurse Minimum one (1) year experience as a nurse in a clinical care setting Nursing skills as defined by accepted nursing standards Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines. Reliable transportation and valid automobile insurance coverage Sit, stand, bend, lift, and move intermittently Ability to lift at least 35lbs and bear the weight of an average adult effectively Desired Qualifications BSN preferred Experience as a nurse in a hospice or home health environment is preferred Familiarity with Home Care Home Base (HCHB) Location Office Location: Grand Rapids Main Service Area: Newaygo, Muskegon, Grant, and surrounding Hours Office Hours: 8:00 am - 5:00 pm, Monday through Friday Weekend Rotation On-Call Rotation Background Screening Careline Health Group conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and receive other benefits and privileges of employment. Please contact us to request accommodation. Equal Opportunity Employer Careline Health Group is an equal-opportunity employer.<img src="https://www.jobg8.com/Tracking.aspx?HPHXsEq4T5XRh3%2fIy%2fBedQa" width="0" height="0" />

**Careline Hospice Registered Nurse**

We value your career at Careline. Picture yourself happy at work, surrounded by teams and people who are like family. At Careline, purpose is at the heart of our employee experience, empowering you to make a meaningful impact on patients and families during their most intimate intervals of life. We live a simple mission: serve together, provide value, and deliver exceptional care.

Careline is proudly nurse-led, bringing a deep understanding and appreciation of the caregiving profession. Our commitment to excellence has earned us the Great Place to Work Certification for the last four consecutive years. We offer professional development, a supportive culture, and unique benefits designed with your needs in mind. If you're passionate about caring and aspire to grow both personally and professionally, you belong with us at Careline.

**Job Description**

- Careline Hospice Registered Nurses are trained professional nurses who administer skilled nursing care, case management, and provide support to terminally ill patients and their families in a home or facility setting.
- Access, plan, coordinate, implement, and evaluate patient care plans.
- In collaboration with the Hospice Medical Director, lead an Interdisciplinary Team of hospice professionals which may include a Hospice Aide, Medical Social Worker, Chaplain, LPN, Music Therapist, Massage Therapist, and Volunteers in providing all appropriate care for the patient.
- Complete initial evaluation and re-evaluate the patient's nursing needs during each visit.
- Assume primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the patient plan of care.
- Complete assessments specific to the provision of hospice care, including but not limited to identification of home safety risks, appropriateness of home environment to the delivery of care, availability and capacity of support systems and community resources.
- Provide appropriate support at the time of death and perform bereavement assessment if requested.
- Provide positive, supportive communication to physicians, patients, families, facilities, visitors, and other organization personnel.

**Requirements**

- Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.
- Current State License as a Registered Nurse.
- Minimum one (1) year experience as a nurse in a clinical care setting.
- Nursing skills as defined by accepted nursing standards.
- Demonstrates ability to assess and respond to the needs of patients, families, and caregivers in varied settings and to function effectively in the home or nursing facility environment.
- Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress, and tolerance of individual lifestyles.
- Demonstrates ability to handle multiple priorities, documentation requirements, and deadlines.
- Reliable transportation and valid automobile insurance coverage.
- Ability to lift at least 35 lbs and bear the weight of an average adult effectively.

**Desired Qualifications**

- BSN preferred.
- Experience as a nurse in a hospice or home health environment is preferred.
- Familiarity with Home Care Home Base (HCHB).

**Benefits**

- Medical, dental, and vision insurance.
- Short-term disability, long-term disability, and life insurance.
- Paid time off (PTO).
- 401(k) retirement plan.
- Mileage reimbursement.
- Company vehicle program.
- Cutting-edge technology.

**Location**

Office Location: Grand Rapids

Main Service Area: Newaygo, Muskegon, Grant, and surrounding areas.

**Hours**

Office Hours: 8:00 am - 5:00 pm, Monday through Friday.

Weekend rotation and on-call rotation may be required.

**Background Screening**

Careline Health Group conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator and is performed in compliance with the Fair Credit Report Act.

**Reasonable Accommodations**

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and receive other benefits and privileges of employment. Please contact us to request accommodation.

**Equal Opportunity Employer**

Careline Health Group is an equal-opportunity employer.

Hospice RN Case Manager

Your Expertise. Our Mission. Join NorthStar Join NorthStar Anesthesia as we continue our exciting nationwide expansion! Were seeking passionate CRNAS to help deliver excellence in anesthesia care. Be part of a national team spanning 22 states and over 200 facilities, offering endless opportunities to grow and make an impact. NorthStar offers industry-leading compensation and benefits packages in an environment designed to foster leadership, professional development, and work-life balance. ABOUT US: As one of the fastest-growing providers of anesthesia services in the United States, NorthStar is proud to care for millions of patients annually through the expertise of our 4,000+ clinicians. Were a talented team of clinical professionals with a shared commitment to collaboration, innovation - and an unwavering commitment to excellence in patient care. THIS ROLE: NorthStar is currently seeking a talented and compassionate Certified Registered Nurse Anesthetist (CRNA) to join our team at our facility in Fremont, Health Spectrum Gerber. This is a great opportunity to use your regional anesthesia skills. THE FACILITY: Corewell Health Spectrum Gerber We Offer: Base Salary $295K Incentives, Stipends & generous Sign on Bonus Generous PTO -8 Weeks Permanent, W2 Flexible Scheduling - Call is one day a week and one weekend every 5 weeks. Diverse case mix: OB, GI, Ortho, ENT, Urology Health, Dental, Vision Short term disability Company paid long term disability Company paid life insurance and AD&D insurance 401K plan with company match Pet Insurance Malpractice CEU Funds Learning and development programs Mentorship TO APPLY: Our 5 SECOND QUICK APPLY process is fast and confidential. It's only 1 step & takes just seconds! Click link to apply now. Or email: The application window for this opportunity is ongoing. NATIONWIDE CRNA OPPORTUNITIES: Explore NorthStars Nationwide opportunities across more than 22 states including: AL, CO, DE, FL, GA, ID, IL, IN, KY, KS, MD, MI, MO, NC, NE, NM OH, PA, TN, TX, WV, VA NorthStar Anesthesia 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.<img src="https://www.jobg8.com/Tracking.aspx?xNkUAS%2fkXJDQz0fVY0wGLAe" width="0" height="0" />

**Certified Registered Nurse Anesthetist (CRNA)**

Join NorthStar Anesthesia as we continue our exciting nationwide expansion! We are seeking passionate CRNAs to help deliver excellence in anesthesia care. Be part of a national team spanning 22 states and over 200 facilities, offering endless opportunities to grow and make an impact. NorthStar offers industry-leading compensation and benefits packages in an environment designed to foster leadership, professional development, and work-life balance.

**Job Description**

- NorthStar is currently seeking a talented and compassionate Certified Registered Nurse Anesthetist (CRNA) to join our team at our facility in Fremont, Health Spectrum Gerber. This is a great opportunity to use your regional anesthesia skills.

**The Facility**

- Corewell Health Spectrum Gerber

**Benefits**

- Base salary $295K
- Incentives, stipends, and generous sign-on bonus
- Generous PTO - 8 weeks
- Permanent, W2
- Flexible scheduling - call is one day a week and one weekend every 5 weeks
- Diverse case mix: OB, GI, Ortho, ENT, Urology
- Health, dental, vision
- Short-term disability
- Company-paid long-term disability
- Company-paid life insurance and AD&D insurance
- 401K plan with company match
- Pet insurance
- Malpractice coverage
- CEU funds
- Learning and development programs
- Mentorship

NorthStar Anesthesia 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.

Certified Registered Nurse Anesthetist (CRNA)

Employment Type: Part time Shift: Description: Hours/ Schedule:<ul><li>Resource / Relief / per diem</li><li>Variable hours</li><li>Location: Shelby</li></ul> What Radiologic Technologist will do:<ul><li>Performs a wide variety of diagnostic examinations which results in the production of diagnostic radiographs. </li><li>Positions patients and adjusts equipment for taking x-rays following established procedures.</li><li>Follows prescribed safety standards in operating radiographic equipment.</li><li>Assists radiologists in performing routine and/or special procedures. Administers specific contrast and barium solutions as directed by the Radiologist or other physician in accordance with established guidelines.</li><li>Provides instruction to x-ray students.</li><li>Demonstrates knowledge and skills necessary to provide care appropriate to the needs of the age group served.</li></ul> What the Radiologic Technologist will need:<ul><li>Completion of American Registry of Radiographic Technologists (ARRT) approved Radiologic Technology program.</li><li>Current ARRT registry required within 6 months of the date of hire</li><li>Must maintain continuing education credits per biennium to retain registry status in compliance with the CE requirements of their certifying organization for the imaging modality in which they perform services. </li><li>Pulmonary Resuscitation (CPR) within three months of hire.</li><li> Preferred: Two years of experience as a Registered radiographer.</li></ul> Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. <img src="https://www.jobg8.com/Tracking.aspx?NoZD4O9Dg3CFNuvw%2fKlVrAq" width="0" height="0" />

**Radiologic Technologist**

Join our team as a Radiologic Technologist in a part-time capacity. This position offers variable hours and is located in Shelby.

**Job Description**

- Performs a wide variety of diagnostic examinations which results in the production of diagnostic radiographs.
- Positions patients and adjusts equipment for taking x-rays following established procedures.
- Follows prescribed safety standards in operating radiographic equipment.
- Assists radiologists in performing routine and/or special procedures. Administers specific contrast and barium solutions as directed by the Radiologist or other physician in accordance with established guidelines.
- Provides instruction to x-ray students.
- Demonstrates knowledge and skills necessary to provide care appropriate to the needs of the age group served.

**Requirements**

- Completion of American Registry of Radiographic Technologists (ARRT) approved Radiologic Technology program.
- Current ARRT registry required within 6 months of the date of hire.
- Must maintain continuing education credits per biennium to retain registry status in compliance with the CE requirements of their certifying organization for the imaging modality in which they perform services.
- Pulmonary Resuscitation (CPR) within three months of hire.
- Preferred: Two years of experience as a Registered radiographer.

**Commitment to Diversity and Inclusion**

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Radiologic Technologist

Job Number: 6700General Dentist needed for an FQHC in Baldwin About the POSITION:<ul><li> Either four- or five-day workweek; no nights or weekends. </li><li>There is a waiting list for new patients, so you can hit the ground running with a full schedule!</li><li>Provide full scope dentistry with the exception of implant placement and orthodontics (fillings, extractions, endo, crown/bridge, removable prosth).</li><li>Monday-Friday, 8-4:30 (30 minute lunch) - OR - Monday-Thursday, 8-6:30 (30 minute lunch)</li><li>No Saturdays!</li><li>9 Operatories</li><li>Currently 1 FT hygienist</li><li>They have Digital panorex and x-ray sensors, intraoral cameras, electronic dental record, rotary endo equipment on site</li></ul>About the COMP & BENEFITS:<ul><li>Competitive Compensation</li><li> Loan Repayment through State and Federal Programs</li><li>Medical, Dental and Vision Coverage</li><li>Prescription Drug Coverage</li><li>Professional Courtesy</li><li>Health Care Flexible Spending Account</li><li>401(k) Retirement Plan</li><li>Life Insurance</li><li>Short- and Long-Term Disability</li><li>Generous Paid Vacation</li><li>Holiday Pay</li><li>Malpractice through Federal Tort Claims Act plus Gap Insurance</li><li>Continuing Education</li><li>Retention Bonus</li><li>Visa Sponsorship</li></ul><img src="https://www.jobg8.com/Tracking.aspx?d9T1Oey2hMskDlltTCBECws" width="0" height="0" />

**General Dentist**

General Dentist needed for an FQHC in Baldwin.

**Job Description**

- Either four- or five-day workweek; no nights or weekends.
- There is a waiting list for new patients, so you can hit the ground running with a full schedule!
- Provide full scope dentistry with the exception of implant placement and orthodontics (fillings, extractions, endo, crown/bridge, removable prosth).
- Monday-Friday, 8-4:30 (30 minute lunch) - OR - Monday-Thursday, 8-6:30 (30 minute lunch).
- No Saturdays!
- 9 Operatories.
- Currently 1 FT hygienist.
- They have Digital panorex and x-ray sensors, intraoral cameras, electronic dental record, rotary endo equipment on site.

**Benefits**

- Competitive compensation.
- Loan repayment through state and federal programs.
- Medical, dental, and vision coverage.
- Prescription drug coverage.
- Professional courtesy.
- Health care flexible spending account.
- 401(k) retirement plan.
- Life insurance.
- Short- and long-term disability.
- Generous paid vacation.
- Holiday pay.
- Malpractice through Federal Tort Claims Act plus gap insurance.
- Continuing education.
- Retention bonus.
- Visa sponsorship.

General Dentist needed for an FQHC in Baldwin

About the POSITION: General Dentist needed for an FQHC in White Cloud. MI 1 FT Dentist and 1 FT Pediatric Dentist at this location.There is a waiting list for new patients, so they can hit the ground running with a full schedule!They will provide full scope dentistry with the exception of implant placement and orthodontics (fillings, extractions, endo, crown/bridge, removable prosth).4-or 5-day work weekNo weekend work requirementsNo on-call schedule9 Operatories <ul><li>1-2 dental assistants per dentist</li><li>Patients are assigned to individual dentists to allow for continuity of care</li><li>Other dentist(s) in the office to allow for treatment collaboration and mentorship</li><li>Wide variety of procedures completed in-office (composites, amalgams, dentures, partials, extractions, crown and bridge, endo, etc.)</li><li>Medical clinic and pharmacy on site</li></ul> About the COMP & BENEFITS: <ul><li>Salaried position with additional productivity bonuses available</li><li>Retention bonuses paid quarterly</li></ul><ul><li>Generous benefits package (medical/dental/vision/disability insurance, 401K matching, up to 5 weeks PTO)</li><li>Licensing fees and malpractice coverage paid for by employer</li><li>CE stipend and paid time off</li><li>Student loan forgiveness<ul><li>Eligible for up to $200,000 in tax-free loan repayment over a period of up to eight years through NHSC</li><li>Eligible for up to $300,000 in tax-free loan repayment over a period of up to ten years through MSLRP</li><li>Eligible for complete loan forgiveness through PSLF after 10 years of employment with FHC</li></ul>Full-Time Benefits:<ul><li>Loan Repayment through State and Federal Programs</li><li>Medical, Dental and Vision Coverage</li><li>Prescription Drug Coverage</li><li>Professional Courtesy</li><li>Health Care Flexible Spending Account</li><li>401(k) Retirement Plan</li><li>Life Insurance</li><li>Short- and Long-Term Disability</li><li>Generous Paid Vacation</li><li>Holiday Pay</li><li>Malpractice through Federal Tort Claims Act plus Gap Insurance</li><li>Continuing Education</li><li>Retention Bonus</li><li>Visa Sponsorship</li></ul></li></ul><img src="https://www.jobg8.com/Tracking.aspx?DXsKf5SWY3DkOIerIu%2bpYgm" width="0" height="0" />

**General Dentist**

General Dentist needed for an FQHC in White Cloud, MI. There is a waiting list for new patients, so they can hit the ground running with a full schedule!

**Job Description**

- Provide full scope dentistry with the exception of implant placement and orthodontics (fillings, extractions, endo, crown/bridge, removable prosthetics).
- Work a 4-or 5-day work week with no weekend work requirements and no on-call schedule.
- Utilize 9 operatories with 1-2 dental assistants per dentist.
- Patients are assigned to individual dentists to allow for continuity of care.
- Collaborate and receive mentorship from other dentists in the office.
- Complete a wide variety of procedures in-office (composites, amalgams, dentures, partials, extractions, crown and bridge, endo, etc.).
- Access to a medical clinic and pharmacy on site.

**Benefits**

- Salaried position with additional productivity bonuses available.
- Retention bonuses paid quarterly.
- Generous benefits package (medical/dental/vision/disability insurance, 401K matching, up to 5 weeks PTO).
- Licensing fees and malpractice coverage paid for by employer.
- CE stipend and paid time off.
- Student loan forgiveness options:
  - Eligible for up to $200,000 in tax-free loan repayment over a period of up to eight years through NHSC.
  - Eligible for up to $300,000 in tax-free loan repayment over a period of up to ten years through MSLRP.
  - Eligible for complete loan forgiveness through PSLF after 10 years of employment with FHC.

**Full-Time Benefits**

- Loan repayment through state and federal programs.
- Medical, dental, and vision coverage.
- Prescription drug coverage.
- Professional courtesy.
- Health care flexible spending account.
- 401(k) retirement plan.
- Life insurance.
- Short- and long-term disability.
- Generous paid vacation.
- Holiday pay.
- Malpractice through Federal Tort Claims Act plus gap insurance.
- Continuing education opportunities.
- Retention bonus.
- Visa sponsorship.

Dentist needed in White Cloud, MI

Cross Country Locums is seeking a Family Medicine physician for a contract position in Michigan. Details listed below. Scope of Work: <ul><li>Open Dates: 1/3/2022- 4/30/2022 </li><li>Inpatient Unit, Fast Track UC, Freestanding UC </li><li>(M-F 8a-5p) Plus night and weekend call </li><li>Full time (preferred)</li><li>Clinic setting</li><li>Avg patients per day: 16-18</li><li>Patient demographic: Adult, Geriatric and Pediatric</li><li>Will not be responsible for supervising other providers</li><li>No responding to in-house codes or provide back up for the ED</li><li>On-site services: Lab and Radiology</li></ul>Certificates, Licenses, Registrations: <ul><li>BLS</li><li>ACLS</li><li>DEA</li><li>COVID VACCINE REQUIRED</li></ul>For more information on this or other Locum Tenens opportunities across the U.S., please contact April Applewhite at or ; feel free to send your current CV at any time.<img src="https://www.jobg8.com/Tracking.aspx?qBJRvG1RGHPXxX8j8bAl1gv" width="0" height="0" />

**Family Medicine Physician**

Cross Country Locums is seeking a Family Medicine physician for a contract position in Michigan. 

**Job Description**

- Open dates: 1/3/2022 - 4/30/2022
- Inpatient unit, fast track urgent care, freestanding urgent care
- Monday to Friday, 8 AM to 5 PM, plus night and weekend call
- Full-time (preferred)
- Clinic setting
- Average patients per day: 16-18
- Patient demographic: Adult, geriatric, and pediatric
- Will not be responsible for supervising other providers
- No responding to in-house codes or providing backup for the emergency department
- On-site services: Lab and radiology

**Requirements**

- BLS certification
- ACLS certification
- DEA registration
- COVID vaccine required

Family Practice - Without OB Physician

Cross Country Locums is seeking a Family Medicine physician for a contract position in Michigan. Details listed below. Scope of Work: <ul><li>Open Dates: 1/3/2022- 4/30/2022 </li><li>Inpatient Unit, Fast Track UC, Freestanding UC </li><li>(M-F 8a-5p) Plus night and weekend call </li><li>Full time (preferred)</li><li>Clinic setting</li><li>Avg patients per day: 16-18</li><li>Patient demographic: Adult, Geriatric and Pediatric</li><li>Will not be responsible for supervising other providers</li><li>No responding to in-house codes or provide back up for the ED</li><li>On-site services: Lab and Radiology</li></ul>Certificates, Licenses, Registrations: <ul><li>BLS</li><li>ACLS</li><li>DEA</li><li>COVID VACCINE REQUIRED</li></ul>For more information on this or other Locum Tenens opportunities across the U.S., please contact April Applewhite at or ; feel free to send your current CV at any time.<img src="https://www.jobg8.com/Tracking.aspx?5Tqzpx4lyH33fftl0YLjAgc" width="0" height="0" />

**Family Medicine Physician**

Cross Country Locums is seeking a Family Medicine physician for a contract position in Michigan. 

**Job Description**

- Open Dates: 1/3/2022 - 4/30/2022
- Inpatient Unit, Fast Track UC, Freestanding UC
- (M-F 8a-5p) Plus night and weekend call
- Full time (preferred)
- Clinic setting
- Average patients per day: 16-18
- Patient demographic: Adult, Geriatric, and Pediatric
- Will not be responsible for supervising other providers
- No responding to in-house codes or providing backup for the ED
- On-site services: Lab and Radiology

**Requirements**

- BLS
- ACLS
- DEA
- COVID vaccine required