Overview: MO Va Home - St James MO Occupational Therapist Part time $5,000 Bonus! At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. Why Powerback?<ul><li>Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.</li><li>Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.</li><li>Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.</li><li>Continuing Education: Keep growing with free CEUs through Medbridge.</li><li>H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.</li><li>Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.</li></ul> Responsibilities: The Occupational Therapist will primarily provide outpatient rehabilitation services in an in-home setting for the older adult population. The in-home setting could be a patient's private residence or in a patient's room in an independent living facility. Powerback Rehabilitation To You allows the Occupational Therapist to evaluate and treat in the most functional environment which is the patient's home. The Occupational Therapist organizes and conducts occupational therapy programs for the agency to facilitate rehabilitation. In addition, they direct patient participation in selected tasks to restore, reinforce, and enhance performance. The Occupational Therapist facilitates the learning of those skills and functions essential for adaptation and productivity, in order to diminish or correct pathology. This position provides a flexible schedule and work environment in various settings. 1. As necessary or applicable, supervision of Occupational Therapy Assistants, temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards. 2. Responsible for adherence to department and patient treatment schedule, timely clinical and billing documentation requirements as well as work related meetings. 3. Attends and contributes to patient care, staffing conferences and other related meetings. 4. Makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient. 5. Consults with other members of the rehabilitation team, including the community physician, to select the most appropriate therapeutic regimen consistent with the needs and capabilities of each patient. 6. Adapts program and/or plan of care according to the needs of individual patients. 7. Promotes a safe environment and enforces the elimination of fire and safety hazards. 8. Orders supplies and equipment as necessary. 9. Cleans, maintains, identifies, and reports the need for repair of equipment as necessary. 10. Puts patient service first: ensures that patients and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights. 11. Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the occupational therapy treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as: cognitive skills muscle strength coordination endurance mobility perceptual abilities sensory awareness sitting and standing tolerance balance activities of daily living joint protection work simplification orientation physical agent modalities low vision falls risk management medication management health and wellness community integration and reintegration Case Management skills in the home and community space 12. Designs, fabricates, fits and/or applies adaptive devices, and trains patients in the use of adaptive devices including orthotics and prosthetics. 13. Selects appropriate activities suited to the individual's physical and mental capacity, intelligence level and interest. 14. Instructs patients in the skills and techniques required for participation in functional activities and evaluates patient progress, attitudes, and behavior as related to rehabilitative potential. 15. Performs routine reexamination as needed/required to modify/progress plan of treatment. 16. Performs other related duties as required. Qualifications: 1. They must have a Bachelor's degree in an occupational therapy curriculum accredited by ACOTE standards. 2. They must have initial registration from the National Board for Certification in Occupational Therapy. 3. The Occupational Therapist must hold a valid and unencumbered occupational therapy license as required in the state of practice. 4. Must have a valid driver's license or reliable, independent transportation to and from the patient's residence. Posted Salary Range: USD $60.00 - USD $60.00 /Hr. Bonus: USD $5,000.00<img src="https://www.jobg8.com/Tracking.aspx?kpzIhnFKbaAeLDBZq15%2fnwd" width="0" height="0" />

**Occupational Therapist**

At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school.

With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.

Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.

**Job Description**

- Provide outpatient rehabilitation services in an in-home setting for the older adult population.
- Organize and conduct occupational therapy programs to facilitate rehabilitation.
- Direct patient participation in selected tasks to restore, reinforce, and enhance performance.
- Facilitate the learning of skills essential for adaptation and productivity.
- Supervise Occupational Therapy Assistants, temporary licensees, students, and support personnel as necessary.
- Adhere to department and patient treatment schedules, timely clinical and billing documentation requirements.
- Attend and contribute to patient care, staffing conferences, and other related meetings.
- Make referrals to other disciplines and agencies to address comprehensive patient needs.
- Consult with other members of the rehabilitation team to select appropriate therapeutic regimens.
- Adapt programs and/or plans of care according to individual patient needs.
- Promote a safe environment and enforce the elimination of fire and safety hazards.
- Order supplies and equipment as necessary.
- Clean, maintain, identify, and report the need for repair of equipment as necessary.
- Ensure that patients and families receive the highest quality of service in a caring atmosphere.
- Screen, examine, and evaluate patients to establish diagnoses and design plans of care.
- Develop appropriate treatment goals and methods in collaboration with patients and caregivers.
- Implement occupational therapy treatment plans and complete all related documentation.
- Design, fabricate, fit, and apply adaptive devices, training patients in their use.
- Instruct patients in skills required for participation in functional activities and evaluate progress.
- Perform routine reexaminations as needed to modify or progress treatment plans.
- Perform other related duties as required.

**Requirements**

- Bachelor's degree in an occupational therapy curriculum accredited by ACOTE standards.
- Initial registration from the National Board for Certification in Occupational Therapy.
- Valid and unencumbered occupational therapy license as required in the state of practice.
- Valid driver's license or reliable transportation to and from the patient's residence.

**Benefits**

- Medical, dental, and vision plans for full-time team members; dental and vision for part-time team members.
- Generous paid time off for full-time and part-time team members.
- Support for new graduates through the Powerback Clinical Mentorship Program starting on day one.
- Free continuing education units through Medbridge.
- H-1B visa and relocation assistance available; Journey Travel Program allows work across the U.S. with full-time security.
- Exclusive discounts on various services including wireless/TV, home/auto/renters insurance, childcare, eldercare, etc.
- Rewards through the PowerZone Employee Recognition Program and professional development opportunities.

**Salary Information**

Posted salary range: USD $60.00 /Hr. Bonus: USD $5,000.00

Occupational Therapist (OT)

About the PositionWe are seeking an Oral Surgeon to join our clinic in Rolla, MO. This role primarily focuses on serving the Medicaid population, offering essential care rather than elective procedures like high-end implants or facial cosmetic surgeries.Key Responsibilities:<ul><li>Diagnose and treat conditions, defects, injuries, and esthetic concerns involving the mouth, teeth, jaws, and face.</li><li>Perform oral examinations using x-rays, dental instruments, and diagnostic tools.</li><li>Extract diseased and impacted teeth.</li><li>Place dental implants as needed to restore missing teeth.</li><li>Administer anesthesia services during surgical procedures.</li><li>Educate patients on preventive dental care and promote oral hygiene practices.</li><li>Requirement: Completion of an accredited oral surgery residency program.</li></ul>Compensation & Benefits<ul><li>Annual salary of $715,000 $725,000, with the potential for additional monthly incentive bonuses.</li><li>Comprehensive benefits package, including health, vision, dental, life insurance, and disability coverage (LTD & STD).</li><li>Coverage for accidents and critical illnesses.</li></ul><img src="https://www.jobg8.com/Tracking.aspx?4Vwu%2fgIetDCjCUF2Ql2G0Qm" width="0" height="0" />

**Oral Surgeon**

We are seeking an Oral Surgeon to join our clinic in Rolla, MO. This role primarily focuses on serving the Medicaid population, offering essential care rather than elective procedures like high-end implants or facial cosmetic surgeries.

**Job Description**

- Diagnose and treat conditions, defects, injuries, and aesthetic concerns involving the mouth, teeth, jaws, and face.
- Perform oral examinations using x-rays, dental instruments, and diagnostic tools.
- Extract diseased and impacted teeth.
- Place dental implants as needed to restore missing teeth.
- Administer anesthesia services during surgical procedures.
- Educate patients on preventive dental care and promote oral hygiene practices.

**Requirements**

- Completion of an accredited oral surgery residency program.

**Benefits**

- Annual salary of $715,000 - $725,000, with the potential for additional monthly incentive bonuses.
- Comprehensive benefits package, including health, vision, dental, life insurance, and disability coverage (LTD & STD).
- Coverage for accidents and critical illnesses.

Oral Surgeon needed in Rolla, MO

Immediate Opening for a Physician Assistant or Nurse Practitioner to work in a state of the art Emergency Department in Eastern Missouri. This opportunity offers a competitive salary along with full benefits. Highlights are 36,000 volume department with 59 hours of provider daily. 15 ten hour shifts per month for full time . Excellent Board Certified Physicians in department. Excellent backup in hospital including surgery, peds, and psych. Expediated Credentialing for candidates with immediate availability. If you are interested or know someone who is please contact us. Derek Kerber Emergency Medical Care ext 250<img src="https://www.jobg8.com/Tracking.aspx?SdQ99zeMqRaTIZ6MXh3Fywr" width="0" height="0" />

**Physician Assistant or Nurse Practitioner**

Immediate opening for a Physician Assistant or Nurse Practitioner to work in a state-of-the-art Emergency Department in Eastern Missouri. This opportunity offers a competitive salary along with full benefits.

**Job Description**

- Work in a 36,000 volume department with 59 hours of provider coverage daily
- Complete 15 ten-hour shifts per month for full-time status
- Collaborate with excellent board-certified physicians in the department
- Access excellent backup in the hospital, including surgery, pediatrics, and psychiatry
- Benefit from expedited credentialing for candidates with immediate availability

Emergency Medicine Physician Assistant

Are you a CRNA , searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in Missouri might just be the opportunity for you! Opportunity Highlights<ul><li>Schedule: 5&dash;8s or 4&dash;10s<li>Job Setting: Inpatient plus call<li>Type of Cases: Endo, ortho, general, ENT, urology, ophthalmology. Bread and butter but with a patient population heavy of ASA 3 <li>Credentialing: 30 days</ul>Minimum Requirements for Consideration<ul><li>Board Certified/ Board Eligible CRNA<li>Licensure: Active MO license required </ul>About VISTA Staffing A ClearlyRated Best of Staffing Client and Talent 10&dash;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&dash;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. .<img src="https://www.jobg8.com/Tracking.aspx?0j59i53QFeWMfKr9zIt2ZQl" width="0" height="0" />

**CRNA**

Are you a CRNA searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in Missouri might just be the opportunity for you!

**Job Description**

- Schedule: 5-8s or 4-10s
- Job Setting: Inpatient plus call
- Type of Cases: Endo, ortho, general, ENT, urology, ophthalmology. Bread and butter but with a patient population heavy of ASA 3
- Credentialing: 30 days

**Requirements**

- Board Certified/Board Eligible CRNA
- Licensure: Active MO license required

**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.

Anesthesiology - Certified Registered Nurse Anesthetist

Gastroenterologist Opportunity - Join Our Well-Established Team! We are seeking a Gastroenterologist to join our thriving, patient-centered practice. With a strong support staff and access to a dedicated medical research department, you'll have the resources to provide exceptional care while advancing your career. Job Highlights: <ul><li>Guaranteed Base Salary: $773,655 (never decreases) + additional RVU production with quarterly bonuses</li><li>Flexible Scheduling: Customize your suite days to fit your preferences</li><li>Student Loan Forgiveness: A Program available to help ease financial burdens</li><li>Visa Sponsorship: Assistance provided for H1B and J1 visa candidates</li></ul> Practice Details: <ul><li>Work in a modern 6-floor facility with dedicated physician suites and comprehensive patient services</li><li>On-site amenities include an ambulatory surgery unit, outpatient medical imaging, a breast center, rehabilitation services, a laboratory, and a pharmacy.</li><li>Join a well-established patient base with strong community ties</li><li>ERCP not required</li></ul> Location Benefits - Rolla, MO: <ul><li> Rolla, Missouri, is a center for education and research in science and technology, particularly for the University of Missouri of Science and Technology. </li><li>Nestled in the scenic Ozark Mountains, offering abundant outdoor recreation, including hiking, fishing, and camping</li><li>Experience a welcoming community with small-town charm, yet conveniently located near two major metropolitan areas.</li><li>A low cost of living means greater affordability and a higher quality of life.</li></ul><img src="https://www.jobg8.com/Tracking.aspx?xVD4f9WoGaofIkRg0SU7ygy" width="0" height="0" />

**Gastroenterologist**

We are seeking a Gastroenterologist to join our thriving, patient-centered practice. With a strong support staff and access to a dedicated medical research department, you'll have the resources to provide exceptional care while advancing your career.

**Job Description**

- Guaranteed base salary: $773,655 (never decreases) + additional RVU production with quarterly bonuses
- Flexible scheduling: Customize your suite days to fit your preferences
- Student loan forgiveness: A program available to help ease financial burdens
- Visa sponsorship: Assistance provided for H1B and J1 visa candidates

**Practice Details**

- Work in a modern 6-floor facility with dedicated physician suites and comprehensive patient services
- On-site amenities include an ambulatory surgery unit, outpatient medical imaging, a breast center, rehabilitation services, a laboratory, and a pharmacy
- Join a well-established patient base with strong community ties
- ERCP not required

**Location Benefits - Rolla, MO**

- Rolla, Missouri, is a center for education and research in science and technology, particularly for the University of Missouri of Science and Technology
- Nestled in the scenic Ozark Mountains, offering abundant outdoor recreation, including hiking, fishing, and camping
- Experience a welcoming community with small-town charm, yet conveniently located near two major metropolitan areas
- A low cost of living means greater affordability and a higher quality of life

Gastroenterology Physician

Gastroenterologist Opportunity - Join Our Well-Established Team! We are seeking a Gastroenterologist to join our thriving, patient-centered practice. With a strong support staff and access to a dedicated medical research department, you'll have the resources to provide exceptional care while advancing your career. Job Highlights: <ul><li>Guaranteed Base Salary: $773,655 (never decreases) + additional RVU production with quarterly bonuses</li><li>Flexible Scheduling: Customize your suite days to fit your preferences</li><li>Student Loan Forgiveness: A Program available to help ease financial burdens</li><li>Visa Sponsorship: Assistance provided for H1B and J1 visa candidates</li></ul> Practice Details: <ul><li>Work in a modern 6-floor facility with dedicated physician suites and comprehensive patient services</li><li>On-site amenities include an ambulatory surgery unit, outpatient medical imaging, a breast center, rehabilitation services, a laboratory, and a pharmacy.</li><li>Join a well-established patient base with strong community ties</li><li>ERCP not required</li></ul> Location Benefits - Rolla, MO: <ul><li> Rolla, Missouri, is a center for education and research in science and technology, particularly for the University of Missouri of Science and Technology. </li><li>Nestled in the scenic Ozark Mountains, offering abundant outdoor recreation, including hiking, fishing, and camping</li><li>Experience a welcoming community with small-town charm, yet conveniently located near two major metropolitan areas.</li><li>A low cost of living means greater affordability and a higher quality of life.</li></ul><img src="https://www.jobg8.com/Tracking.aspx?%2bAR%2f2DOE%2bxsZmmqTnvFjtgq" width="0" height="0" />

Interested in this assignment? Or maybe you still have not found what you are looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs, including some jobs that never get posted. CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.<ul><li>Monday through Friday schedule 40 guaranteed hours</li><li>10 - 12 patients per day</li><li>Outpatient orthopedic setting</li><li>Adult patient population</li><li>Outpatient experience preferred</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 $1820.00 to $3000.00 weekly Per week (based on a 40-hour work week). Includes estimated taxable wages of $23.00 - $40.00 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?67jp4xUOEiyLpi0PPdqnmQk" width="0" height="0" />

**Orthopedic Physician**

Interested in this assignment? Or maybe you still have not found what you are looking for? CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.

**Job Description**

- Monday through Friday schedule with 40 guaranteed hours
- 10 - 12 patients per day
- Outpatient orthopedic setting
- Adult patient population
- Outpatient experience preferred
- 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 $1820.00 to $3000.00 weekly based on a 40-hour work week. Includes estimated taxable wages of $23.00 - $40.00 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 / Missouri / CPH# JOB- - A Physical Therapist Is Wanted for Traveling Help in Missouri Job

Interested in this assignment? Or maybe you still have not found what you are looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs, including some jobs that never get posted. CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.<ul><li>Monday through Friday schedule 40 guaranteed hours</li><li>10 - 12 patients per day</li><li>Outpatient orthopedic setting</li><li>Adult patient population</li><li>Outpatient experience preferred</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 $23.00 - $40.00 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?XP8pGE%2fWZGHnUCuAYjH%2fMAb" width="0" height="0" />

**Orthopedic Physician**

Interested in this assignment? CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.

**Job Description**

- Monday through Friday schedule with 40 guaranteed hours
- 10 - 12 patients per day
- Outpatient orthopedic setting
- Adult patient population
- Outpatient experience preferred
- 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 Overview**

Per week (based on a 40-hour work week). Includes estimated taxable wages of $23.00 - $40.00 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 job in Rolla MO

Need Dec 14 - Jan 2nd covered, full-time coverageMainly outpatient with potential rounding at hospitals Clinic Hours: Monday - Friday 8A - 5P Rounding: as neededRounding at Phelps is only if patients are admitted, provider would need privileges at both the hospitals<img src="https://www.jobg8.com/Tracking.aspx?aPoBvXocclOI8L5KyJJCLwo" width="0" height="0" />

**Job Title**

Need coverage from December 14 to January 2, full-time coverage.

This position mainly involves outpatient work with potential rounding at hospitals. 

**Job Description**

- Clinic hours are Monday to Friday, 8 AM to 5 PM.
- Rounding is as needed.
- Rounding at Phelps is only if patients are admitted; the provider would need privileges at both hospitals.

Physician / Oncology - Hematology / Missouri / Locum Tenens / Hematology and Oncology Locum Job in Rolla, MO Job

Need a Physical Therapist for a Physical Therapist traveler position in Missouri! Physical Therapist / PTTraveler positionAcute RehabFloat possibly Medsurge, TCUPreferred experience level: any13 weeks, possible extensionDaysFull time hoursEPICRolla, MissouriMissouri license or compact eligible required Apply now for more information! We look forward to connecting with you!Position: TherapistSpecialty/Modality: Physical TherapyLicenses/Certifications: CPR/BLS (Basic Life Support), State License-Physical Therapist-Missouri, NPI NUMBERPhysical Abilities: From 50-100lbsFor the most prompt response, please APPLY ONLINE.As always, there is never a fee for candidates to utilize our services.EEO/Veteran/Disability Employer Apply online today Whether you crave new experiences, adventure, or professional challenges, we offer endless opportunities in exciting destinations. Our Therapy Division specializes in the placement of physical, occupational, speech, and respiratory therapy professionals in national contract (travel), local contract, and direct-hire opportunities nationwide. Most importantly, were here when you need us, 24/7. Not all staffing companies are alike. Experience the Aureus difference.<img src="https://www.jobg8.com/Tracking.aspx?2cdS0EAvFrTN1RTKwzdoHQj" width="0" height="0" />

**Physical Therapist**

We need a Physical Therapist for a traveler position in Missouri! This role involves working in acute rehab, with possible floating to med-surge and TCU. 

**Job Description**

- Full-time hours for 13 weeks, with a possible extension
- Dayshift position
- Experience with EPIC is preferred
- Missouri license or compact eligibility required

**Requirements**

- CPR/BLS (Basic Life Support) certification
- State License - Physical Therapist - Missouri
- NPI number

**Physical Abilities**

- Ability to lift from 50-100 lbs

Whether you crave new experiences, adventure, or professional challenges, we offer endless opportunities in exciting destinations. Our Therapy Division specializes in the placement of physical, occupational, speech, and respiratory therapy professionals in national contract (travel), local contract, and direct-hire opportunities nationwide. Most importantly, we're here when you need us, 24/7. Not all staffing companies are alike. Experience the Aureus difference.