NP Jobs in Los Alamitos, CA

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice This position will cover Sonoma, Marin, and Napa counties.

Hospice and Palliative Nurse Practitioner

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice This position will cover Sonoma, Marin, and Napa counties.

Hospice and Palliative Nurse Practitioner

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice This position will cover Sonoma, Marin, and Napa counties.

Hospice and Palliative Nurse Practitioner

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice This position will cover Sonoma, Marin, and Napa counties.

3 months ago

Nurse Practitioner -Part Time

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice

3 months ago

Nurse Practitioner -Part Time

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice

3 months ago

Nurse Practitioner -Part Time

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice

4 months ago

Nurse Practitioner

InnovAge Los Angeles, CA

Monday through Friday 8 to 5pm, no nights, weekends, or holidays! The Nurse Practitioner provides primary care to enrolled participants by evaluating participant physical complaints and providing appropriate treatment. The Nurse Practitioner functions beyond as an advanced practice nurse and as an integral member of the interdisciplinary team. Physical attendance at an InnovAge facility and/or an InnovAge participant home is essential to performing the job duties. Evaluates participants and documents information in participant’s chart. Performs physical examination and orders and interprets diagnostic tests. Performs blood draws, EKG’s, dressing changes and any other nursing interventions as needed. Formulates an assessment of participant’s condition and provides a treatment plan, including writing prescription(s) and providing ongoing follow-up of condition. Provides alternative methods of therapy to participants as appropriate. Educates staff, participants and caregivers regarding healthcare issues and treatments. Manages acute and long-term medical needs of participants in collaboration with other primary care providers and oversees the care eds of participants in nursing homes, homes, Assisted Living Facilities and/or group clinic settings. Provides emotional and spiritual support to participants. Provides management of medical emergencies as needs dictate. Ensures appropriate and timely documentation of medical care in the participant’s medical record, in compliance with InnovAge Greater PACE documentation policies. Identifies documents and corrects problems in medical records. Additional work functions and duties may be assigned REQUIRED Current State issued Nurse Practitioner license 1+ year as a practicing Nurse Practitioner DEA Certification with full prescriptive authority 5+ years a Registered Nurse with experience in elderly care PREFERRED Bi-lingual InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $140,000-$170,000 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.

AltaMed Huntington Park, CA

4 months ago

Nurse Practitioner, Float, Women's Health

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The Nurse Practitioner provides medical services to clients, ensuring appropriate and professional medical services. Minimum Requirements Graduation from an accredited Baccalaureate school of nursing. Completed training in the diagnosis and management of common and some complex medical conditions. Current licensure in the State of California. Certification as an Adult/Family/Pediatric/Women’s Health Nurse Practitioner. Previous experience with computer-based systems is required; Electronic Medical Records experience is preferred. A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines. Compensation Pay for this job starts at $160,680.00 annually Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

5 months ago

Nurse Practitioner -Part Time

Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice

Prime Healthcare Lynwood, CA

6 months ago

Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC) - Nocturnist Opportunity

Overview Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC) - Nocturnist Opportunity Location: Los Angeles, CA Schedule: Part-time or Full-time | Nights (7PM to 7AM) Schedule: flexible (Minimum of 4 shifts for part time or 14 shifts for full time) Employment type: Independent Contractor (non-benefited) Description: Our pulmonary/critical care team is seeking a Nocturnist Acute Care Nurse Practitioner to join our team to provide overnight ICU coverage. The position offers the unique opportunity to work at the top of your license within a collaborative environment. It is an ideal position for practitioners seeking to supplement their income or explore advanced critical care practice growth. We offer a comprehensive transition to practice program, which includes hands-on clinical training as well as a one-year critical care didactic curriculum to foster professional growth and confidence in the ICU setting. Responsibilities Manage and follow up on ICU patients overnight. Respond to codes/emergencies Perform emergent procedures (central line & intubations). Training provided Complete appropriate documentation and billing for patient encounters Qualifications ACNP-BC or AGANCP-BC certification Active DEA license Minimum 1 year inpatient NP experience (ICU or hospital setting preferred) Pay Transparency Saint Francis Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $1,000-1,150.00 a day. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Part Time > 59 Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Prime Healthcare Inglewood, CA

6 months ago

Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC) - Nocturnist Opportunity

Overview Acute Care Nurse Practitioner (ACNP-BC or AGACNP-BC) - Nocturnist Opportunity Location: Los Angeles, CA Schedule: Part-time or Full-time | Nights (7PM to 7AM) Schedule: flexible (Minimum of 4 shifts for part time or 14 shifts for full time) Employment type: Independent Contractor (non-benefited) Description: Our pulmonary/critical care team is seeking a Nocturnist Acute Care Nurse Practitioner to join our team to provide overnight ICU coverage. The position offers the unique opportunity to work at the top of your license within a collaborative environment. It is an ideal position for practitioners seeking to supplement their income or explore advanced critical care practice growth. We offer a comprehensive transition to practice program, which includes hands-on clinical training as well as a one-year critical care didactic curriculum to foster professional growth and confidence in the ICU setting. Responsibilities Manage and follow up on ICU patients overnight. Respond to codes/emergencies Perform emergent procedures (central line & intubations). Training provided Complete appropriate documentation and billing for patient encounters Qualifications ACNP-BC or AGANCP-BC certification Active DEA license Minimum 1 year inpatient NP experience (ICU or hospital setting preferred) Please email your CV to carchimedical@gmail.com Pay Transparency Centinela Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $$1,000-$1,150.00 a day. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

8 months ago

Nurse Practitioner

AltaMed Walnut Park, CA

$160,680 / year

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The Nurse Practitioner provides medical services to clients, ensuring appropriate and professional medical services. Minimum Requirements Graduation from an accredited Baccalaureate school of nursing. Completed training in the diagnosis and management of common and some complex medical conditions. Current licensure in the State of California. Certification as an Adult/Family/Pediatric/Women’s Health Nurse Practitioner. Previous experience with computer-based systems is required; Electronic Medical Records experience is preferred. A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines. Compensation Pay for this job starts at $160,680.00 annually Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.