MaineGeneral Health

SHINE New Graduate Nurse (RN) Residency – Med/Surg **Fall/Winter Grads**

Job Summary:

Join us as a new graduate nurse (RN) as part of MaineGeneral’s SHINE Residency in the Med/Surg track. You'll provide direct patient care aligned with professional standards and our organization's values, contributing to MaineGeneral Health’s mission of enhancing, every day, the health of our patients, our families and our communities.

Job Description:

**Now accepting applications from Fall/Winter Nursing Graduates!**

SHINE New Graduate Nurse (RN) Residency – Med/Surg:

This opportunity invites you to become part of the most forward-thinking New Graduate RN Residency program in the state. MaineGeneral Health presents a chance to expand your knowledge and skills through our renowned SHINE Residency. It’s the largest program of its kind in the state, designed to bolster your success as an integral part of our clinical team. The door to this thrilling opportunity is just a few clicks away!

**An early acceptance incentive of $4000 awaits qualified SHINE candidates**

  • Candidates must apply at least 6 weeks before their graduation date.
  • Offer letter must be signed within 1 week of receipt.
  • The incentive is paid in full in your first paycheck as an RN.

A glimpse into the SHINE Med/Surg Residency:

• The med/surg clinical track involves a comprehensive 12-week orientation across various med/surg units, guided by high-performing preceptors.

• After this period, nurse residents have the option to join the float pool or transition to a unit that feels like home.

• The year-long program also includes commitments to clinical training, classroom sessions, and online learning, all aimed at strengthening the nursing practice and success of the New Grad RN.

Why Choose MaineGeneral SHINE New Graduate RN Residency?

• Residency positions come with full benefits.

• All our residency programs are registered apprenticeships through the Maine Department of Labor.

• SHINE Residency cohorts stay together for a year, attending monthly professional growth classes led by our professional development educators.

Don't hesitate! Apply today for immediate consideration!

The ideal candidate:

• Expected graduation from an accredited Nursing school in the Fall/Winter of 2026/2027 or less than 6 months of RN experience.

• Maine state licensure as a Registered Nurse (RN) or the ability to obtain it after passing the NCLEX, required.

Additional Highlights:

• Employee Referral Program

• Generous Earned Time Accruals

• Potential for Student Loan Reimbursement for RNs

• Opportunities for Continuing Education and Tuition Reimbursement

• Growth opportunities within the organization

• Commitment to employee safety, wellness, and work/life balance

• Dedication to employee safety, wellness and work/life balance

Scheduled Weekly Hours:

36

Scheduled Work Shift:

Variable (United States of America)

Job Exempt:

No

Benefits

Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.

Physical Wellness:

  • We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.

  • Employees have access to industry-leading leave for new parents.

  • A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.

Emotional Wellness:

When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.

Financial Wellness:

  • Access the wages you’ve already earned before payday with Payactiv, giving you greater flexibility over your finances.

  • Loan Reimbursement is available for this position dependent upon current degree level.  Please discuss benefit with the recruiter.

  • Tuition Reimbursement is available to all employees to further develop skills and career.

  • We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.

  • Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.

  • We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

Career Mobility:
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource they are how we grow our business and care for our community.

Equal Opportunity Employer M/F/Vet/Disability  Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

MaineHealth

Registered Nurse (RN) - Cove's Edge

$31.79 - $43.02 / hour
Description Nursing Req #: 88532 This is a Registered Nurse (RN) or Licensed Practical Nurse (LPN) 2 vacancy open to candidates with greater than 1 year of RN or LPN work experience For a limited time MaineHealth is offering a $10,000 Sign on bonus for all eligible Registered Nurses with 0-2 years of RN experience and $20,000 for Registered Nurses with greater than 2 years of RN work experience! Eligible candidates are hired (offer accepted) into a Full or Part time RN position. Bonus amount prorated for Part time hires, per diem hires are ineligible. Current MaineHealth member employees are ineligible; former MaineHealth Members are ineligible until greater than 6 months separation from employment. Summary This is a Full-time, 36 hour/week, Evening shift position. Unit Bio Are you looking for a rewarding nursing career where you can build meaningful relationships with patients and residents while making a lasting impact every day? Cove's Edge is seeking a compassionateRegistered Nurse (RN)orLicensed Practical Nurse (LPN)to join our skilled rehabilitation and long-term care team.Our friendly, collaborative culture and commitment to compassionate care make Cove's Edge a place where both patients and caregivers thrive. Since 1981, Cove's Edge has been dedicated to providing exceptional skilled rehabilitation services and long-term care in a warm, welcoming environment. As an LPN, you'llwork alongside an experienced interdisciplinary team to deliver high-quality, patient-centered care, support residents through their rehabilitation journey, and help individuals achieve their highest level of independence and well-being. Under direction of a Registered Nurse, the Licensed Practical Nurse - Long Term Care role provides supportive and restorative care to residents, reinforces the resident and family teaching program, and administers medications and treatments according to policies, procedures, and standards of the nursing practice. The MH Registered Nurse - Ambulatory Care role provides high quality care to patients and families calling or presenting for care through assessment, planning, implementation, and evaluation, and performs a wide variety of patient care services to assist physicians/advanced practice practitioners in delivering excellent care to patients of the practice. MH RN I: This level represents the beginner in their clinical role. This care team member has less than 12 months experience and is primarily developing the required knowledge and skills to work within their setting. Level I must achieve all performance expectations, by completion of facility and unit orientation, and satisfactorily completing the introductory period. Required Minimum Knowledge, Skills, And Abilities (KSAs) (RN) Education: Graduate of an accredited School of Nursing required; BSN preferred. License/Certifications: Current applicable state(s) license as a Registered Professional Nurse required. Current BLS certification required or must obtain within 30 days of start date. Experience: New Grad or RN with less than 12 months experience. Required Minimum Knowledge, Skills, And Abilities (KSAs) (LPN) Education: Graduate of an accredited Licensed Practical Nursing program required. License/Certifications: Current applicable state(s) license as a Licensed Practical Nurse required. Current BLS certification required or must obtain within 30 days of start date. Experience: One year of relevant experience preferred. Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage. The pay range for this position for an LPN is $27.27to $36.88 per hour. The pay range for this position for an RN is $31.79 to $43.02 per hour. Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives. If you have questions about this role, please contact meredith.files@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org. Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
MaineHealth

Registered Nurse (RN) - Special Care Unit

$37.09 - $50.17 / hour
Description Lincoln Hospital Nursing Req #: 83850 This is a Registered Nurse 2 vacancy open to candidates with greater than 1 year of RN work experience For a limited time MaineHealth is offering a $10,000 Sign on bonus for all eligible Registered Nurses with 0-2 years of RN experience and $20,000 for Registered Nurses with greater than 2 years of RN work experience! Eligible candidates are hired (offer accepted) into a Full or Part time RN position. Bonus amount prorated for Part time hires, per diem hires are ineligible. Current MaineHealth member employees are ineligible; former MaineHealth Members are ineligible until greater than 6 months separation from employment. Summary This is a Full-time, 36 hour/week, Day shift position. Unit Bio The Special Care Unit is an 8-bed ICU/Step-Down Unit, where nurses are responsible for conducting complex assessments and providing intensive therapies and interventions to a variety of patients. Nurses have the opportunity to care for patients with acute and chronic respiratory failure, cardiac events, sepsis, metabolic disorders, complex surgical recoveries, and more. This department has a great collaborative team with the ancillary departments and the physicians/surgeons. The MH Registered Nurse (RN I) role provides high quality patient care through assessment, planning, implementation, and evaluation of patient outcomes. Collaborates, delegates, and communicates with members of the healthcare team to ensure optimal care. The MH Registered Nurse RN II role is competent in their clinical role and has demonstrated the ability to care for most patients assigned. Though not able to care for every patient type within their area of hire, demonstrates how to obtain the appropriate resources to develop required skills and knowledge over time. This level includes automatic advancement after 1 year as a RN I – must be in good standing and meets RN I requirements. Required Minimum Knowledge, Skills, And Abilities (KSAs) Education: Graduate of an accredited School of Nursing required; BSN preferred. Licensure/Certification: Current applicable state(s) license as a Registered Professional Nurse required. Current BLS certification required or must obtain within 30 days of start date. Other certifications may be required specific to area of practice or in accordance with Department guidelines. Experience: One year of recent RN experience required. Automatic advancement from RN I level if all onboarding requirements are complete, including the New Grad Residency (where available). Additional Skills/Requirements Required: N/A Additional Skills/Requirements Preferred: N/A Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage. The pay range for this position is $37.09to $50.17 per hour. Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives. If you have questions about this role, please contact meredith.files@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org. Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
MaineHealth

Registered Nurse (RN) - Walk-In Care

$34.35 - $46.46 / hour
Description Nursing Req #: 94442 Are you looking for a full-time nursing role that combines meaningful patient relationships with the variety of same-day care? Join theWalk-In Care team in Damariscottaand become part of a collaborative, patient-centered practice dedicated to serving the community.This combination creates a dynamic environment where no two days are the same. This role is ideal for nurses who enjoy variety, teamwork, and building relationships with patients over time.You'll have the opportunity to develop broad clinical skills while helping patients navigate unexpected illnesses or injuries.If you're looking for a rewarding career with a supportive team, opportunities for professional growth, and the chance to make a difference in the lives of patients every day, we'd love to hear from you. Summary The MH Registered Nurse - Ambulatory Care role provides high quality care to patients and families calling or presenting for care through assessment, planning, implementation, and evaluation, and performs a wide variety of patient care services to assist physicians/advanced practice practitioners in delivering excellent care to patients of the practice. MH RN II: This level is competent in their clinical role and has demonstrated the ability to care for most patients assigned. Though not able to care for every patient type within their area of hire, demonstrates how to obtain the appropriate resources to develop required skills and knowledge over time. This level included automatic advancement after 1 year as a RN I – must be in good standing and meets RN I requirements. Required Minimum Knowledge, Skills, And Abilities (KSAs) Education: Graduate of an accredited School of Nursing required; BSN preferred. License/Certifications: Current applicable state(s) license as a Registered Professional Nurse required. Current BLS certification required or must obtain within 30 days of start date. Experience: One year of recent RN experience required. Automatic advancement from RN I level if all onboarding requirements are complete, including the New Grad Residency (where available). Additional Skills/Requirements Required: N/A Additional Skills/Requirements Preferred: N/A Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage. The pay range for this position is $34.35to $46.46 per hour. Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives. If you have questions about this role, please contact michelle.lefebvre@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org. Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
MaineHealth

Registered Nurse (RN) - Cove's Edge

$27.27 - $43.02 / hour
Description Nursing Req #: 88532 This is a Registered Nurse (RN) or Licensed Practical Nurse (LPN) 2 vacancy open to candidates with greater than 1 year of RN or LPN work experience For a limited time MaineHealth is offering a $10,000 Sign on bonus for all eligible Registered Nurses with 0-2 years of RN experience and $20,000 for Registered Nurses with greater than 2 years of RN work experience! Eligible candidates are hired (offer accepted) into a Full or Part time RN position. Bonus amount prorated for Part time hires, per diem hires are ineligible. Current MaineHealth member employees are ineligible; former MaineHealth Members are ineligible until greater than 6 months separation from employment. Summary This is a Full-time, 36 hour/week, Evening shift position. Unit Bio Are you looking for a rewarding nursing career where you can build meaningful relationships with patients and residents while making a lasting impact every day? Cove's Edge is seeking a compassionateRegistered Nurse (RN)orLicensed Practical Nurse (LPN)to join our skilled rehabilitation and long-term care team.Our friendly, collaborative culture and commitment to compassionate care make Cove's Edge a place where both patients and caregivers thrive. Since 1981, Cove's Edge has been dedicated to providing exceptional skilled rehabilitation services and long-term care in a warm, welcoming environment. As an LPN, you'llwork alongside an experienced interdisciplinary team to deliver high-quality, patient-centered care, support residents through their rehabilitation journey, and help individuals achieve their highest level of independence and well-being. Under direction of a Registered Nurse, the Licensed Practical Nurse - Long Term Care role provides supportive and restorative care to residents, reinforces the resident and family teaching program, and administers medications and treatments according to policies, procedures, and standards of the nursing practice. The MH Registered Nurse - Ambulatory Care role provides high quality care to patients and families calling or presenting for care through assessment, planning, implementation, and evaluation, and performs a wide variety of patient care services to assist physicians/advanced practice practitioners in delivering excellent care to patients of the practice. MH RN I: This level represents the beginner in their clinical role. This care team member has less than 12 months experience and is primarily developing the required knowledge and skills to work within their setting. Level I must achieve all performance expectations, by completion of facility and unit orientation, and satisfactorily completing the introductory period. Required Minimum Knowledge, Skills, And Abilities (KSAs) (RN) Education: Graduate of an accredited School of Nursing required; BSN preferred. License/Certifications: Current applicable state(s) license as a Registered Professional Nurse required. Current BLS certification required or must obtain within 30 days of start date. Experience: New Grad or RN with less than 12 months experience. Required Minimum Knowledge, Skills, And Abilities (KSAs) (LPN) Education: Graduate of an accredited Licensed Practical Nursing program required. License/Certifications: Current applicable state(s) license as a Licensed Practical Nurse required. Current BLS certification required or must obtain within 30 days of start date. Experience: One year of relevant experience preferred. Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage. The pay range for this position for an LPN is $27.27to $36.88 per hour. The pay range for this position for an RN is $31.79 to $43.02 per hour. Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives. If you have questions about this role, please contact meredith.files@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org. Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
MaineHealth

Registered Nurse (RN) - Home Care, Coastal Region

Description Home Health and Hospice Nursing Req #: 88482 Full Time/Days Are you a compassionate Registered Nurse who enjoys caring for patients where they are most comfortable—at home ? Join MaineHealth Care at Home as a full-time Registered Nurse and become part of a dedicated team delivering exceptional home health care that helps patients recover, regain independence, and live safely in their own homes. As a Home Care RN, you'll provide comprehensive, patient-centered nursing care to individuals recovering from illness, injury, surgery, or managing chronic medical conditions. You'll perform skilled assessments, develop individualized plans of care, provide hands-on clinical care, educate patients and caregivers, coordinate services with physicians and the interdisciplinary team, and help patients achieve their personal health goals in the comfort of their own homes. This role offers the unique opportunity to build meaningful relationships with patients and families while practicing with a high level of autonomy. You'll manage a diverse caseload, perform skilled nursing visits, monitor patient progress, provide medication and disease management education, coordinate community resources, and serve as a trusted advocate throughout each patient's healthcare journey. Every home visit allows you to make a direct and lasting impact on your patients' quality of life. As a full-time, Registered Nurse , you'll enjoy the flexibility and independence that comes with caring for patients in the community while benefiting from the support of an experienced interdisciplinary team. Your day begins from home as you travel directly to your patients, allowing you to focus on providing personalized care rather than spending your time in a traditional clinical setting. As part of MaineHealth, you'll have access to ongoing professional development, advanced clinical resources, and one of northern New England's most respected healthcare systems. Serving patients, you'll enjoy caring for individuals across vibrant coastal communities, historic neighborhoods, and rural settings while experiencing the variety and independence that make home health nursing such a rewarding career. Summary The MH Registered Nurse - Home Care role provides patient-family centered quality care through assessment, diagnosis, outcome identification, planning, implementation, documentation, and evaluation of the effects of nursing care. Services may be provided on an outpatient and/or community basis. MH RN II: This level is competent in their clinical role and has demonstrated the ability to care for most patients assigned. Though not able to care for every patient type within their area of hire, demonstrates how to obtain the appropriate resources to develop required skills and knowledge over time. This level included automatic advancement after 1 year as an RN I – must be in good standing and meets RN I requirements. Required Minimum Knowledge, Skills, And Abilities (KSAs) Education: Graduate of an accredited School of Nursing required; BSN preferred. License/Certifications: Current applicable state(s) license as a Registered Professional Nurse required. Current BLS certification required or must obtain within 30 days of start date. Valid Driver’s License to operate a motor vehicle, with vehicle available for work covered by liability insurance as specified by agency policy required Experience: One year of RN experience required. Automatic advancement from RN I level if all onboarding requirements are complete, including the New Grad Residency (where applicable) Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage. The pay range for this position is $56,858.88 to $102,935.04 per year. Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives. If you have questions about this role, please contact amanda.oliveira@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org. Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.