Job Overview<ul><li>Start Date: Aug 4-18 with future dates<li>Setting: Mon-Fri 7a-3p, Night and weekend call<li>Job Details:<ul><li>Will be working solo<li>Cases: Endo, Peds, Ortho, ENT, general, vascular, pain, OBGYN, podiatry, eyes, spinals, blocks and epidurals<li>Clean background and malpractice history to make Aug dates<li>Will need 3 references and NPDB with submission of profile</ul><li>EMR: Medaxion<li>Delta Locum Tenens can assist with travel arrangements, credentialing, and will cover malpractice.</ul>ABOUT DELTA LOCUM TENENS Delta Locum Tenens (DLT), the locum tenens staffing division of The Delta Companies, identifies physicians and advanced practice providers on behalf of healthcare facilities to provide short- and long-term coverage. With flexibility, travel, and malpractice coverage, this award-winning team helps clients recruit quality talent with ease. The company has been recognized with several Best of Staffing Awards. Visit for more about locum tenens staffing needs.<img src="https://www.jobg8.com/Tracking.aspx?YG7fuGAgfAwr8fPkjvdkngz" width="0" height="0" />

**Job Overview**

Start Date: Aug 4-18 with future dates.

Setting: Mon-Fri 7a-3p, Night and weekend call.

**Job Description**

- Will be working solo
- Cases: Endo, Peds, Ortho, ENT, general, vascular, pain, OBGYN, podiatry, eyes, spinals, blocks, and epidurals
- Clean background and malpractice history to make Aug dates
- Will need 3 references and NPDB with submission of profile
- EMR: Medaxion
- Delta Locum Tenens can assist with travel arrangements, credentialing, and will cover malpractice.

**About Delta Locum Tenens**

Delta Locum Tenens (DLT), the locum tenens staffing division of The Delta Companies, identifies physicians and advanced practice providers on behalf of healthcare facilities to provide short- and long-term coverage. With flexibility, travel, and malpractice coverage, this award-winning team helps clients recruit quality talent with ease. The company has been recognized with several Best of Staffing Awards. Visit for more about locum tenens staffing needs.

Certified Registered Nurse Anesthetist (CRNA)

When it comes to finding the perfect locums assignment, sometimes it's all about who you know. CompHealth has been around for a long time and have a vast network of connections to facilities across the nation. Let one of our recruiters leverage this network to help you get ahead of the curve and find the assignment that's just right for you.<ul><li>Monday through Friday schedule, 8am - 4pm</li><li>Guaranteed 36 hours per week at 80% productivity</li><li>Split coverage between skilled nursing and assisted living facilities</li><li>EMR: Net Health, Raintree</li><li>Business casual or scrubs dress code</li><li>13-week assignment duration</li><li>ASAP start needed</li><li>Permanent placement opportunity after two assignments</li><li>We provide complimentary housing and travel</li><li>We arrange and cover costs for licensing and malpractice</li><li>We simplify the credentialing and privileging process</li><li>We provide first-day medical insurance and 401(K)</li><li>Your personal recruiter handles every detail, 24/7</li></ul>From $1403.00 to $2107.00 weekly Per week (based on a 40-hour work week). Includes estimated taxable wages of $12.58 - $17.68 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment).<img src="https://www.jobg8.com/Tracking.aspx?wcHubT2tvubNw19II2m6hws" width="0" height="0" />

**Locums Assignment**

When it comes to finding the perfect locums assignment, sometimes it's all about who you know. CompHealth has been around for a long time and has a vast network of connections to facilities across the nation. Let one of our recruiters leverage this network to help you get ahead of the curve and find the assignment that's just right for you.

**Job Description**

- Monday through Friday schedule, 8am - 4pm
- Guaranteed 36 hours per week at 80% productivity
- Split coverage between skilled nursing and assisted living facilities
- EMR: Net Health, Raintree
- Business casual or scrubs dress code
- 13-week assignment duration
- ASAP start needed
- Permanent placement opportunity after two assignments
- We provide complimentary housing and travel
- We arrange and cover costs for licensing and malpractice
- We simplify the credentialing and privileging process
- We provide first-day medical insurance and 401(K)
- Your personal recruiter handles every detail, 24/7

**Compensation**

From $1403.00 to $2107.00 weekly per week (based on a 40-hour work week). Includes estimated taxable wages of $12.58 - $17.68 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment).

Therapist / Physical Therapist / Iowa / CPH# JOB- - An Iowa Facility Needs a Traveling Physical Therapy Assistant Job

Locum Tenens - OB/GYN HospitalistLocation: Waverly, IowaStart Date: ASAP - OngoingExpected Program Start: September 2025Facility Type: 25-bed Critical Access HospitalKey Clinical DetailsResponsibilities:<ul><li>Clinic/Outpatient: Yes - MHAS Clinic & On-Call Coverage<li>GYN Duties: Yes<li>Deliveries (Annual Avg.): 200<li>NICU Level: I<li>Anesthesia: On-call (nights/weekends)<li>MFM Onsite: No<li>General Surgeon: Available 24/7</ul>Facility Snapshot<ul><li>Hospital Type: Critical Access<li>Location Perks: Community-focused setting with low volume and broad support</ul>Referral Bonus<ul><li>Know a provider who's a fit? Ask about our generous referral fees</ul>Allow RecruitWell to set up a phone call with you and the client to discuss more! What RecruitWell Provides:<ul><li>A rated malpractice<li>Weekly direct deposit<li>24/7 dedicated recruiter support<li>Professional onboarding and credentialing<li>Prepaid travel and lodging</ul>RecruitWell's Core Values:<ul><li>Open communication<li>Sense of urgency<li>Teamwork<li>Accountability<li>Driven to win<li>Higher consciousness</ul><img src="https://www.jobg8.com/Tracking.aspx?GvGK8sa0VwKWeiqI5BBd4Ac" width="0" height="0" />

**Locum Tenens - OB/GYN Hospitalist**

Join our team as a Locum Tenens OB/GYN Hospitalist in Waverly, Iowa. This position is at a 25-bed Critical Access Hospital, offering a community-focused setting with low volume and broad support.

**Job Description**

- Clinic/Outpatient: Yes - MHAS Clinic & On-Call Coverage
- GYN Duties: Yes
- Deliveries (Annual Avg.): 200
- NICU Level: I
- Anesthesia: On-call (nights/weekends)
- MFM Onsite: No
- General Surgeon: Available 24/7

**Requirements**

- None specified

**Benefits**

- A rated malpractice
- Weekly direct deposit
- 24/7 dedicated recruiter support
- Professional onboarding and credentialing
- Prepaid travel and lodging

**Referral Bonus**

Know a provider who's a fit? Ask about our generous referral fees.

**RecruitWell's Core Values**

- Open communication
- Sense of urgency
- Teamwork
- Accountability
- Driven to win
- Higher consciousness

Obstetrics & Gynecology Physician

When it comes to finding the perfect locums assignment, sometimes it's all about who you know. CompHealth has been around for a long time and have a vast network of connections to facilities across the nation. Let one of our recruiters leverage this network to help you get ahead of the curve and find the assignment that's just right for you.<ul><li>Monday through Friday schedule, 8am - 4pm</li><li>Guaranteed 36 hours per week at 80% productivity</li><li>Split coverage between skilled nursing and assisted living facilities</li><li>EMR: Net Health, Raintree</li><li>Business casual or scrubs dress code</li><li>13-week assignment duration</li><li>ASAP start needed</li><li>Permanent placement opportunity after two assignments</li><li>We provide complimentary housing and travel</li><li>We arrange and cover costs for licensing and malpractice</li><li>We simplify the credentialing and privileging process</li><li>We provide first-day medical insurance and 401(K)</li><li>Your personal recruiter handles every detail, 24/7</li></ul>Per week (based on a 40-hour work week). Includes estimated taxable wages of $12.58 - $17.68 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment).<img src="https://www.jobg8.com/Tracking.aspx?HAHg1bRc8RNPtB97f%2b1W1gi" width="0" height="0" />

**Locums Assignment**

When it comes to finding the perfect locums assignment, sometimes it's all about who you know. CompHealth has been around for a long time and has a vast network of connections to facilities across the nation. Let one of our recruiters leverage this network to help you get ahead of the curve and find the assignment that's just right for you.

**Job Description**

- Monday through Friday schedule, 8am - 4pm
- Guaranteed 36 hours per week at 80% productivity
- Split coverage between skilled nursing and assisted living facilities
- EMR: Net Health, Raintree
- Business casual or scrubs dress code
- 13-week assignment duration
- ASAP start needed
- Permanent placement opportunity after two assignments
- We provide complimentary housing and travel
- We arrange and cover costs for licensing and malpractice
- We simplify the credentialing and privileging process
- We provide first-day medical insurance and 401(K)
- Your personal recruiter handles every detail, 24/7

**Compensation**

Per week (based on a 40-hour work week). Includes estimated taxable wages of $12.58 - $17.68 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment).

Physical Therapy Assistant job in Sumner IA

Are you an OB/GYN Physician searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in Iowa might just be the opportunity for you! Opportunity Highlights • Schedule: 24-hour shifts, 20 per month • Setting: OB Hospitalist, MHAS model • Type of Cases: OB triage, unassigned GYN emergencies, deliveries • Credentialing: 90 days Minimum Requirements • Board Certified/Eligible: OB/GYN • Certifications: Not listed • Licensure: Iowa - Active or Ability to ObtainAbout VISTA Staffing A ClearlyRated Best of Staffing Client and Talent 10-Year Diamond Award winner, VISTA has 30 years of experience optimizing continuity of care for hospitals, medical practices and government agencies across the US. A leading provider of short-term US locum tenens and permanent physician search services, VISTA partners healthcare providers with facilities who need them most, providing an effective strategy for lessening the impact of the global provider shortage. Our VISTA team goes above and beyond to make healthcare providers feel valued in the job search process and are committed to elevating careers to new heights. For more information, visit .<img src="https://www.jobg8.com/Tracking.aspx?bUnyt%2fQfFVaAk0ifIs32VAy" width="0" height="0" />

**OB/GYN Physician**

Are you an OB/GYN Physician searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in Iowa might just be the opportunity for you!

**Job Description**

- Schedule: 24-hour shifts, 20 per month
- Setting: OB Hospitalist, MHAS model
- Type of Cases: OB triage, unassigned GYN emergencies, deliveries
- Credentialing: 90 days

**Requirements**

- Board Certified/Eligible: OB/GYN
- Licensure: Iowa - Active or Ability to Obtain

**About VISTA Staffing**

A ClearlyRated Best of Staffing Client and Talent 10-Year Diamond Award winner, VISTA has 30 years of experience optimizing continuity of care for hospitals, medical practices, and government agencies across the US. A leading provider of short-term US locum tenens and permanent physician search services, VISTA partners healthcare providers with facilities who need them most, providing an effective strategy for lessening the impact of the global provider shortage. Our VISTA team goes above and beyond to make healthcare providers feel valued in the job search process and are committed to elevating careers to new heights.

Are you an OB/GYN Physician searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in Iowa might just be the opportunity for you! Opportunity Highlights • Schedule: 24-hour shifts, 20 per month • Setting: OB Hospitalist, MHAS model • Type of Cases: OB triage, unassigned GYN emergencies, deliveries • Credentialing: 90 days Minimum Requirements • Board Certified/Eligible: OB/GYN • Certifications: Not listed • Licensure: Iowa - Active or Ability to ObtainAbout VISTA Staffing A ClearlyRated Best of Staffing Client and Talent 10-Year Diamond Award winner, VISTA has 30 years of experience optimizing continuity of care for hospitals, medical practices and government agencies across the US. A leading provider of short-term US locum tenens and permanent physician search services, VISTA partners healthcare providers with facilities who need them most, providing an effective strategy for lessening the impact of the global provider shortage. Our VISTA team goes above and beyond to make healthcare providers feel valued in the job search process and are committed to elevating careers to new heights. For more information, visit .<img src="https://www.jobg8.com/Tracking.aspx?O0QM2zGlXMVxXWvzdrGa2Qp" width="0" height="0" />

At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S. every day. It is our passion, drive and integrity that enables us to continue our focus in assisting remarkable healthcare professionals like yourself in solidifying the best career opportunities available to you.We're currently seeking a CRNA to join our amazing team.Details of the CRNA opening:<ul><li>Anticipated start date: 02/26/2024</li><li>Salary Range: Commensurate with Experience</li><li>Anticipated duration of assignment: 13 weeks</li><li>Anticipated schedule: 5x8 Days</li><li>Enjoy peace of mind knowing you can elect Day One Medical Benefits</li></ul>Daily Range of Responsibilities of the CRNA:<ul><li>Work in collaboration with anesthesiologists, surgeons and other physicians and medical professionals to deliver anesthesia for medical and surgical procedures.</li><li>Cares for patient before, during and after a medical procedure or surgery by performing a patient assessment, preparing the patient for anesthesia, administering and maintaining the anesthesia to ensure proper sedation and pain management, overseeing patient recovery from anesthesia and caring.</li> Note:<ul><li>All applicants must be fully vaccinated per the CDC and State guidelines.</li></ul></ul>Qualifications for the CRNA:<ul><li>Bachelors of Science degree (BSN); Masters degree in Anesthesia or Nursing.</li><li>Certification from the National Board of Nurse Anesthetists (NBCRNA).</li><li>Two or more years of applicable experience.</li><li>BLS and ACLS Certification.</li></ul>Submit your resume to us today for consideration of the CRNA opening and one of our dedicated recruiters will be in touch within 24 business hours.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.<img src="https://www.jobg8.com/Tracking.aspx?FVzTkahaC7mijMRFjVGkuwy" width="0" height="0" />

**CRNA**

At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S. every day. 

It is our passion, drive, and integrity that enables us to continue our focus in assisting remarkable healthcare professionals like yourself in solidifying the best career opportunities available to you.

We're currently seeking a CRNA to join our amazing team.

**Job Description**

- Work in collaboration with anesthesiologists, surgeons, and other physicians and medical professionals to deliver anesthesia for medical and surgical procedures.
- Care for patients before, during, and after a medical procedure or surgery by performing a patient assessment, preparing the patient for anesthesia, administering and maintaining the anesthesia to ensure proper sedation and pain management, overseeing patient recovery from anesthesia, and caring.

**Details of the CRNA Opening**

- Anticipated start date: 02/26/2024
- Salary range: Commensurate with experience
- Anticipated duration of assignment: 13 weeks
- Anticipated schedule: 5x8 Days
- Enjoy peace of mind knowing you can elect Day One Medical Benefits

**Requirements**

- All applicants must be fully vaccinated per the CDC and State guidelines.
- Bachelor of Science degree (BSN); Master's degree in Anesthesia or Nursing.
- Certification from the National Board of Nurse Anesthetists (NBCRNA).
- Two or more years of applicable experience.
- BLS and ACLS Certification.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

CRNA

Aya Locums has an immediate opening for a locum Certified Registered Nurse Anesthetist (CRNA) job in Charles City, IA paying $215/hour - $230/hour.Job Details:<ul><li>Position: Certified Registered Nurse Anesthetist (CRNA)</li><li>Start Date: 08-04-25</li><li>Length: 26 weeks</li></ul>Schedule and Coverage:<ul><li>Shift Coverage: Scheduled + On Call required</li><li>Shift Schedule: Standard 5, 8-Hour 07:00 - 15:00 </li></ul>About the Facility:<ul><li>Facility Type: Acute Care Hospital</li></ul>About Certified Registered Nurse Anesthetist (CRNA) Jobs: This is a generalized description of locum CRNA job requirements. Specific assignment details may vary based on the healthcare facility, patient population and the scope of the role.General Job Responsibilities:<ul><li>Provide anesthesia care to patients undergoing surgery, including preoperative assessment, intraoperative anesthesia management and postoperative pain management.</li><li>Collaborate with surgeons, surgical teams and other healthcare providers to ensure optimal patient outcomes.</li><li>Monitor patient vital signs and adjust anesthetic plans as needed.</li><li>Respond to emergencies and provide critical care interventions.</li><li>Maintain accurate and complete medical records.</li><li>Stay current on the latest advancements in anesthesia practice through continuing education. </li></ul>Skills:<ul><li>Clinical expertise and technical proficiency in administering various anesthesia techniques.</li><li>Strong critical thinking and decision-making skills. </li><li>Excellent communication and collaboration skills to work effectively with a surgical team.</li><li>Exceptional attention to detail and the ability to adapt to changing patient conditions. </li><li>Strong work ethic, stamina and ability to perform effectively in a fast-paced environment. </li></ul>Minimum Education Requirements:<ul><li>Master of Science in Nursing (MSN) or Doctorate in Nursing Practice (DNP) from an accredited CRNA program. </li></ul>License & Certifications:<ul><li>Active and unencumbered advanced practice registered nurse (APRN) license in Iowa. </li><li>National certification as a CRNA by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). </li></ul>Experience:<ul><li>While specific requirements may vary, most locum CRNA positions prefer candidates with at least one year of experience in a clinical anesthesia setting. </li></ul>Additional Notes:<ul><li>Locum tenens CRNA positions are temporary assignments, often lasting weeks or months, to fill staffing gaps in healthcare facilities.</li><li>These positions offer competitive pay and flexible schedules, allowing CRNAs to pursue diverse work environments and control their workload.</li></ul>With Aya Locums, you get:<ul><li>Access to top hospitals and healthcare systems in diverse care settings.</li><li>Highly competitive, transparent locum tenens pay.</li><li>Dedicated application and assignment support.</li><li>In-house credentialing and licensing teams.</li><li>Travel and lodging coverage.</li><li>Easy timekeeping and streamlined management of documents.</li><li>Malpractice coverage and risk management support.</li><li>Aya may provide other benefits where required by applicable law, including but not limited to reimbursements.</li></ul>For all employees and employee applicants, Aya is an Equal Employment Opportunity ("EEO") Employer, including Disability/Vets, and welcomes all to apply.<img src="https://www.jobg8.com/Tracking.aspx?R2ZxbZG3vHFULBxh2oZqLgu" width="0" height="0" />

**Certified Registered Nurse Anesthetist (CRNA)**

Aya Locums has an immediate opening for a locum Certified Registered Nurse Anesthetist (CRNA) job in Charles City, IA paying $215/hour - $230/hour.

**Job Description**

- Provide anesthesia care to patients undergoing surgery, including preoperative assessment, intraoperative anesthesia management, and postoperative pain management.
- Collaborate with surgeons, surgical teams, and other healthcare providers to ensure optimal patient outcomes.
- Monitor patient vital signs and adjust anesthetic plans as needed.
- Respond to emergencies and provide critical care interventions.
- Maintain accurate and complete medical records.
- Stay current on the latest advancements in anesthesia practice through continuing education.

**Requirements**

- Master of Science in Nursing (MSN) or Doctorate in Nursing Practice (DNP) from an accredited CRNA program.
- Active and unencumbered advanced practice registered nurse (APRN) license in Iowa.
- National certification as a CRNA by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
- While specific requirements may vary, most locum CRNA positions prefer candidates with at least one year of experience in a clinical anesthesia setting.

**Benefits**

- Access to top hospitals and healthcare systems in diverse care settings.
- Highly competitive, transparent locum tenens pay.
- Dedicated application and assignment support.
- In-house credentialing and licensing teams.
- Travel and lodging coverage.
- Easy timekeeping and streamlined management of documents.
- Malpractice coverage and risk management support.
- Aya may provide other benefits where required by applicable law, including but not limited to reimbursements.

<ul> <li>Work Dates Needed: 8/4 - ongoing 2 on / 2 off</li> <li>Preferred Schedule: 7a-3-5p Call: 5p-7a</li> <li>Worksite Setting: Hospital</li> <li>Scope of Work: ENDO, Peds, Ortho, ENT, General, Vascular, Pain Management, OB/GYN, Podiatry</li> <li>EMR: Medaxion</li></ul> Posted Date: 2025-08-10<img src="https://www.jobg8.com/Tracking.aspx?pgrucIgiWzBbbRaMCNrxkQx" width="0" height="0" />

**Job Description**

- Work dates needed: 8/4 - ongoing, 2 on / 2 off
- Preferred schedule: 7a-3p, 5p call: 5p-7a
- Worksite setting: Hospital
- Scope of work: ENDO, Peds, Ortho, ENT, General, Vascular, Pain Management, OB/GYN, Podiatry
- EMR: Medaxion

Certified Registered Nurse Anesthetist (CRNA) - Locums

MercyOne New Hampton is in need of a CRNA to start ASAP! Details: <ul><li>Must be local/within driving distance </li><li>Ongoing sporadic coverage for PTO coverage</li><li>Will have cataract patients.</li><li>8 hour days, schedule may vary</li><li>EMR: CRNAs do not enter data into the system, we do not have the anesthesia build. They use Cerner/Community Works</li><li>Will need to work independently, but provider or surgeon will be present also</li><li>Average Number of Surgical Cases Per Day: Cataracts 11 to 15. other procedures maybe 3 to 4 </li><li>No pain management canses</li><li>Trauma level 4</li><li>Annual ER volume: around 5000</li><li>Description of OR Staff: we have surgical tech and RNs, along with providers and surgeons </li><li>Number of Operating Rooms: 2 </li><li>Training and experience required - no new grads</li><li>Required cases: general surgery adult, general surgery pediatric, minor nerve blocks, IV regional anesthesia, spinal anesthesia, regional anesthesia, ventilation management, local infiltration, spinal only for total knees. Usually have cataracts and colonoscopies, EGDs along with procedures, carpal tunnel, etc.</li><li> Prefer providers within driving distance due to the individual shifts </li><li>Credentialing timeframe: 1 month or less</li></ul> Submission Requirements <ul><li>NBCRNA - Required</li><li>Active IA license - Required</li><li>BLS, ACLS, PALS - Required</li><li>COVID vaccine - Required</li><li>Local/within driving distance - Required</li><li>Assistance with State Licensure, Certifications and Vaccinations available</li></ul><img src="https://www.jobg8.com/Tracking.aspx?UpzcxEcoTc8rafh3O6zKeQg" width="0" height="0" />

**CRNA**

MercyOne New Hampton is in need of a CRNA to start ASAP!

**Job Description**

- Must be local/within driving distance
- Ongoing sporadic coverage for PTO coverage
- Will have cataract patients
- 8 hour days, schedule may vary
- EMR: CRNAs do not enter data into the system; we do not have the anesthesia build. They use Cerner/Community Works
- Will need to work independently, but provider or surgeon will be present also
- Average number of surgical cases per day: Cataracts 11 to 15, other procedures maybe 3 to 4
- No pain management cases
- Trauma level 4
- Annual ER volume: around 5000
- Description of OR staff: we have surgical tech and RNs, along with providers and surgeons
- Number of operating rooms: 2
- Training and experience required - no new grads
- Required cases: general surgery adult, general surgery pediatric, minor nerve blocks, IV regional anesthesia, spinal anesthesia, regional anesthesia, ventilation management, local infiltration, spinal only for total knees. Usually have cataracts and colonoscopies, EGDs along with procedures, carpal tunnel, etc.
- Prefer providers within driving distance due to the individual shifts
- Credentialing timeframe: 1 month or less

**Requirements**

- NBCRNA - Required
- Active IA license - Required
- BLS, ACLS, PALS - Required
- COVID vaccine - Required
- Local/within driving distance - Required
- Assistance with state licensure, certifications, and vaccinations available