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ACTi-KARE Inc
Middleboro, MA • (15.6 miles) • Full Time • 9/10/2026
ACTi-KARE, the premier provider of senior and home care services, is currently seeking P/T experienced caregivers in the Plymouth and surrounding area to assist adult clients in their home. Starting pay for this position will be $15.00-$16.50 depending on experience. Ask about our sign on bonus!Sample of Duties include:Light housekeeping,Companionship, Personal CareGeneral household assistance,Meal preparation, etcRequirements:At least one year experience,Valid state of Massachusetts driver's license,Must be able to pass required background checks.If you are looking for supplemental income, enjoy working with mature adults and making a difference in their lives and have experience, please respond with your resume. We are looking for the best of the best!\nCompany DescriptionACTi-KARE, theBlue Ribbon Veterinary Services
Pembroke, MA 02359 • (28.8 miles) • Full Time • 9/10/2026
We are looking for an experienced veterinary technician proficient in surgical monitoring And preparation. We perform surgeries 1 day a week routinely between the hours of 9-5. Hours can be adjusted for moms with kids. We perform scheduled c-sections during the week and on weekends as needed So availability on some weekends is required but these are planned in advance. We have a large quality breeder clientele as well as pet owners.Come join our small but enjoyable group!$30/hrStarlident Newton Dental Office
Newton, MA 02458 • (44.4 miles) • Full Time • 9/10/2026
A patient-centered practice is looking for a caring and responsible individual who truly enjoys helping others, who is right fit for our work family.The Ideal CandidateSelf-Initiated proactive "doer" who sees what needs to be done and acts without waiting for instruction.Composed Under Pressure to handle a fast-paced environment with grace, staying focused and effective when the schedule gets tight.A True Team Player who can jump where needed and support your colleagues to keep the day running smoothly.Easy-Going & Positive to maintain a friendly demeanor, helping to keep our patients and the team relaxed.Detail-Oriented in your work, ensuring every instrument is sterilized and every patient record is accurate.A Fast Learner who picks up new clinical techniques and dental software systemsPEACE OF MIND HOME CARE LLC
Fall River, MA • (0 miles) • Full Time • 9/10/2026
Enables patients to stay in their homes by monitoring and recording patient condition, providing support and personal services, and teaching families.Monitors patient condition by observing physical and mental condition, intake and output, and exercise.Supports patients by providing housekeeping and laundry services, shopping for food and other household requirements, preparing and serving meals and snacks, and running errands.Assists patients by providing personal services, such as, bathing, dressing, and grooming.Helps patients care for themselves by teaching use of cane or walker, special utensils to eat, special techniques and equipment for personal hygiene.Helps family members care for the patient by teaching appropriate ways to lift, turn, and re-position the patient.Advises on nutriSupplemental Health Care
Freetown, MA 02702 • (5.3 miles) • Full Time • 9/10/2026
Job Description:Supplemental Health Care is hiring CT Technologists for contract opportunities at a partnering Hospital in Brockton, Massachusetts. Join a leading healthcare team and put your imaging skills to work in a role that offers both professional growth and rewarding patient care.Qualifications:Associate’s or Bachelor’s degree from an accredited Radiologic Technology programCurrent American Registry of Radiologic Technologists (ARRT) certification in Radiography (R); ARRT (CT) certification preferredActive state radiologic technologist license (if applicable)Basic Life Support (BLS) certification from the American Heart Association; ACLS preferred1–2 years of experience as a Radiologic Technologist; prior CT imaging experience strongly preferredStrong knowledge of anatomy, physioloHealth Care Resource Centers
New Bedford, MA 02740 • (9.9 miles) • Full Time • 9/10/2026
DescriptionPart Time Medical Director Opportunity – New Bedford & Attleboro, MAHCRC (Health Care Resource Centers) services is dedicated to providing individualized treatment integrating pharmacotherapy, clinical counseling, recovery support and medical services. HCRC addiction treatment programs deliver medically supervised services for adults in a variety of modalities and settings. As the largest specialty organization addressing the opioid crisis, we have unlimited opportunities for those looking to make a difference.At HCRC, we believe in delivering a higher level of care to our patients, not just talking about it. We are committed to treating our patients and each other with dignity and respect in a culture that fosters excellence in all that we do.Patient Care Responsibilities:PlannComprehensive Practice Managem
Smithfield, RI 02917 • (25.5 miles) • Full Time • 9/10/2026
We are a well established and rapidly growing third-party revenue cycle management/medical billing company located in Smithfield, RI and are seeking a full-time medical billing specialist to join our team. This position offers flexible daytime work hours and partial remote work opportunities.Two years of medical billing experience in accounts receivable (insurance) follow up is required. The culture at Grey Ledge Medical is focused on providing the highest quality service to our clients, while creating a positive and friendly work environment for all. We offer comparable salary and benefits for all of our positions. Please reply back to this post with your resume. Thank you.Job Type: Full-timeBenefits:Flexible scheduleAbility to Commute:Smithfield, RI 02917 (Required)Ability to Relocate:SmFriends And Mentors Inc.
Brockton, MA • (25.8 miles) • Full Time • 9/10/2026
About Friends and Mentors Inc.Friends and Mentors Inc. is a Brockton-based group practice and youth-serving nonprofit dedicated to helping children, adolescents, and families thrive. Through the Children's Behavioral Health Initiative (CBHI), our outpatient program delivers culturally responsive, evidence-based therapy to MassHealth-eligible youth and families. Clinicians work alongside therapeutic mentors, family partners, and community programs a true team backing every case.The RoleWe're hiring Masterlevel clinicians to provide individual, family, and group therapy to children, teens, and their families. The ideal candidate brings a warm, engaging presence, strong clinical judgment, and a genuine investment in the youth of the Brockton community.Key ResponsibilitiesConduct diagnostic asFalmouth Hospital - Sunburst
Falmouth, MA • (27.7 miles) • Full Time • 9/10/2026
A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.Hingham Pediatric Dentistry
Norwell, MA • (34.2 miles) • Full Time • 9/10/2026
Looking for a friendly and motivated certifed dental assistant (CDA) for a busy pediatric office. Candidate must have exceptional communication skills and enjoy working with children. Position will also include cross training at front desk. Work week around 35 hours/week.\nCompany DescriptionSmall company with devoted team that prioritizes patient care.Company DescriptionSmall company with devoted team that prioritizes patient care.Actalent
Westwood, MA 02090 • (35.4 miles) • Full Time • 9/10/2026
*** 12 month contract, potential for conversion with budget approval and performance****** hybrid role 1 day week in office after training***Job DescriptionWe are seeking a detail-oriented patient billing representative to handle patient inquiries and billing issues in a fast-paced healthcare environment. This position requires excellent communication skills and a strong understanding of billing practices and insurance processes.ResponsibilitiesRespond to a high volume of patient inquiries via phone, mail, and electronic messaging regarding billing and account-related issues.Research and resolve patient billing inquiries by collaborating with insurance companies, third-party payers, and other external contacts, and communicate findings to patients and guarantors.Collect outstanding balanceFamily Friend Home Care LLC
Quincy, MA • (37.4 miles) • Full Time • 9/10/2026
We are seeking a compassionate and dedicated Home Health Aide on the South Shore to support individuals in their homes. The ideal candidate will assist clients with daily living activities, ensuring their comfort and safety while promoting independence.Duties may include:Assist clients with personal care tasks such as bathing, grooming, and dressing.Provide companionship and emotional support to enhance clients' quality of life.Assist with mobility and transfers, ensuring safety during movement.Perform light housekeeping duties to maintain a clean and safe living environment.Assist with local errands.Requirements:Home Health Aide experienceHas own vehicleSpeaks EnglishMassachusetts General Hospital - HHS
Boston, MA • (41.8 miles) • Full Time • 9/10/2026
Intensive care unit (ICU) staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the critical care unit of a hospital or healthcare facility and look after patients who have experienced invasive surgery, accidents, trauma or organ failure.EYEWELL CLINIC PLLC
Boston, MA • (41.8 miles) • Full Time • 9/10/2026
Eyewell Clinic, Boston www.myeyewell.comEyewell Clinic is a pioneering specialty eye care practice in Boston dedicated to transforming the way dry eye and ocular surface disease are diagnosed and treated. We are an ocular surface disease core facility, founded by internationally recognized experts in ocular surface disease, refractive surgery, and medical contact lens technology. Eyewell combines clinical expertise, advanced technology and a highly personalized approach to patient care.At Eyewell, we’re building a new model for specialty eye care- one that makes advanced diagnostics and therapies more accessible to patients while working with their existing providers to provide thoughtful, evidence based care. Our team is passionate about innovation, collaboration and improving the patientATI Physical Therapy - Laurel Ave
Wellesley, MA • (41.9 miles) • Full Time • 9/10/2026
A physical therapist will examine a patient and focus on creating a recovery plan. They focus on treatments that reduce the need for surgery and prescriptive drugs. A physical therapist uses a combination of exercises, stretches, hands-on techniques and equipment to restore function or relieve pain.Bridge Over Troubled Water
Boston, MA 02111 • (44.1 miles) • Full Time • 9/10/2026
Residential Counselor, Full-TimeBridge Over Troubled WatersBoston, MAWHO WE AREFor over 50 years, Bridge Over Troubled Waters has provided a comprehensive continuum of care for runaway, homeless, and high-risk youth in Boston, and has been a national model in providing innovative youth services. Our mission is to transform the lives of youth through safe, supportive and encouraging relationships, counseling, housing, and skill-building, to guide them towards self-sufficiency and achieving their goals.ABOUT THE ROLEThe Residential Counselorwill be responsible for engaging participants and managing the milieu in one of Bridge’s residential continuum of programs, which includes the Welcome Center (WC), Emergency Residence (ER), or Transitional Living Programs (TLP and SPH). Responsibilities wSaint Anne's Hospital Ambulatory Care Center
Dartmouth, MA • (8.7 miles) • Full Time • 9/10/2026
Emergency Nurses treat patients in emergency situations where they’re experiencing trauma or injury. These nurses quickly recognize life-threatening problems and are trained to help solve them on the spot. They can work in hospital emergency rooms, ambulances, helicopters, urgent care centers, sports arenas, and more. As an Emergency Nurse, you’ll treat a variety of conditions from sore throats to heart attacks for patients of all ages and backgrounds.The Alpha Group
Taunton, MA 02780 • (13.4 miles) • Full Time • 9/10/2026
Currently seeking a Medical Device Production Operator for a full-time temporary to permanent position in Taunton, MA, A great opportunity to work in a family owned company with a great team!Responsibilities of Medical Device Production Operator Include:-Set-up and operated a small manufacturing printing machine-Load and unload small pieces into machine-Set completed products onto tray-Inspected products to ensure quality standards are met-Follow all written instructions, specifications, and work orders-Maintain a clean and safe work environment-Perform other related tasks as assignedRequirements of Medical Device Production Operator-Previous assembly or production experience-Superior attention to detail-Able to sit throughout shift-Good hand-eye coordination and dexterity-Ability to read,Kent Hospital - Hallmark
Warwick, RI • (17.1 miles) • Full Time • 9/10/2026
OR Scrub & Circulate professionals bring two critical skill sets to a single role. Scrubbing in means assisting surgeons directly inside the sterile field during operations managing surgical instruments, maintaining sterile conditions, and anticipating the team's needs to ensure patient safety. Circulating means acting as the operating room's safety net and coordinator managing counts, documentation, positioning, and communication so the surgical team can stay focused on the patient. This dual competency gives surgical departments greater staffing flexibility and continuity across cases.Rhode Island Hospital
Providence, RI • (18 miles) • Full Time • 9/10/2026
A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.Sturdy Health - AYA
Attleboro, MA • (18 miles) • Full Time • 9/10/2026
A Telemetry Nurse monitors patient’s vital signs with an electrocardiogram or other life sign-measuring device. They usually provide care to patients with gastrointestinal diseases, heart failure, diabetes, and other acute diagnoses. Most often they work in hospitals or other clinical facilities.Robert Half
Wareham, MA 02571 • (20.9 miles) • Full Time • 9/10/2026
We are looking for a Patient Access Specialist to support front-end patient access operations in Massachusetts. This Long-term Contract opportunity is ideal for someone who can create a welcoming experience while handling registration, scheduling, and insurance-related tasks with accuracy. The position is scheduled Monday through Friday and plays an important role in helping patients move smoothly through the intake and appointment process. Responsibilities: • Welcome patients in a courteous and attentive manner and guide them through the check-in and registration process. • Collect, review, and update demographic, insurance, and other required patient information to maintain accurate records. • Coordinate appointment scheduling and make changes to existing visits based on patient and clinWilliam B Rice Eventide Home Inc
South Weymouth, MA 02190 • (32.2 miles) • Full Time • 9/10/2026
Job Title: Speech-Language Pathologist (SLP)Department: Rehabilitation ServicesReports To: Director of Rehabilitation or DesigneeFLSA Status:Non-exemptEEO-1 Job Category:Professionals (Category 2)Job SummaryWhere compassionate care intersects with a supportive community, we are dedicated to maintaining a culture of excellence, ensuring top-tier care for our residents. The Speech-Language Pathologist (SLP) evaluates, diagnoses, and treats residents with speech, language, voice, cognitive-communication, and swallowing disorders. The SLP develops individualized treatment plans to enhance residents’ communication abilities and overall quality of life. Under the guidance of our Director of Rehabilitation, you'll perform essential resident tasks, helping us uphold our reputation for exceptionalBeth Israel Deaconess Hospital - Needham
Needham, MA • (39.9 miles) • Full Time • 9/10/2026
Emergency Nurses treat patients in emergency situations where they’re experiencing trauma or injury. These nurses quickly recognize life-threatening problems and are trained to help solve them on the spot. They can work in hospital emergency rooms, ambulances, helicopters, urgent care centers, sports arenas, and more. As an Emergency Nurse, you’ll treat a variety of conditions from sore throats to heart attacks for patients of all ages and backgrounds.Insight Global
Boston, MA • (41.8 miles) • Full Time • 9/10/2026
Openings: 80Duration: Through End of Year (December 2026)Location: Massachusetts (Community-Based)BostonNorth BostonSpringfieldHolyokeLynnSalemSchedule: Monday-Friday | 8:00 AM - 5:00 PMMust-HavesCurrent Massachusetts license as one of the following:Registered Nurse (RN)Licensed Clinical Social Worker (LCSW/LICSW)Licensed Mental Health Counselor (LMHC)Associate's Degree in Nursing or Master's Degree in Social Work/Mental Health CounselingEither:3+ years of RN/Behavioral Health Clinician experience, or1 year of RN/Behavioral Health experience plus 2 years working with complex populationsValid driver's license, reliable transportation, and auto insurancePreferred ExperienceLTSS and Dual-Eligible populationsMedicare/Medicaid managed carePopulation health or community healthBehavioral healthCoAbove And Beyond Talent Acquisition, Inc
Boston, MA • (41.8 miles) • Full Time • 9/10/2026
Position Title:Health Benefits Program ManagerLocation:Boston, MA - Paramus, NJ - Milwaukee, WIDuration:06Month ContractStatus:Hybrid(3 days in office)Employment Type:Contract role on W-2 through Above and Beyond Talent Acquisition, Inc. (A&B Talent)Pay Range:USD $55-57 an hour W2Client Info / Who they are:Above and Beyond Talent Acquisition proudly represents our Client, a global leader in water, waste, and energy management. The client offers a full spectrum of water, waste, and energy management services, including water and wastewater treatment, commercial and hazardous waste collection and disposal, energy consulting, and resource recovery. The client helps commercial, industrial, healthcare, higher education, and municipality customers throughout North America. The client has approxiSpaulding Rehabilitation Hospital Boston - HHS
Boston, MA • (41.8 miles) • Full Time • 9/10/2026
Pediatric Nurses work with patients from infancy to young adulthood, giving developmental screenings, immunizations, and treating common illnesses like chicken pox and tonsillitis. They work closely with family doctors, pediatricians and other nurses, to provide preventative as well as critical care. As a Pediatric Nurse, you’ll also teach your patients’ parents and family members how to prevent childhood diseases, and about proper nutrition for growth and development.Cape Cod Hospital - Sunburst
Hyannis, MA • (41.9 miles) • Full Time • 9/10/2026
Labor and Delivery Nurses help bring people into the world every day. They care for women during labor and childbirth, monitoring the baby and the mother, coaching mothers and assisting doctors. As a Labor and Delivery Nurse, you’ll prepare women, and their families, for the stages of giving birth and help patients with breastfeeding after the baby is born.MetroWest Medical Center
Framingham, MA • (44.6 miles) • Full Time • 9/10/2026
Emergency Nurses treat patients in emergency situations where they’re experiencing trauma or injury. These nurses quickly recognize life-threatening problems and are trained to help solve them on the spot. They can work in hospital emergency rooms, ambulances, helicopters, urgent care centers, sports arenas, and more. As an Emergency Nurse, you’ll treat a variety of conditions from sore throats to heart attacks for patients of all ages and backgrounds.G AND N TRANSPORTATION LLC
Cranston, RI • (20.1 miles) • Full Time • 9/9/2026
We are currently seeking a reliable and experienced Transport Driver to join our team. As a Transport Driver, you will be responsible for safely transporting passengers to their destinations in a timely manner. This is a great opportunity for individuals with excellent communication skills and a passion for providing exceptional customer service.Responsibilities:- Safely operate and drive various types of vehicles, including cars and wheelchair vans- Transport passengers to their designated locations following predetermined routes and schedules- Provide excellent customer service by assisting passengers with boarding, disembarking, and securing their belongings- Maintain cleanliness and orderliness of the vehicle, ensuring it is presentable at all times- Adhere to all traffic laws, regulatGlobal International Reading Literacy Institute, Inc.
Brockton, MA • (25.8 miles) • Full Time • 9/9/2026
Phlebotomy Technician, Electrocardiography (ECG/EKG/Telemetry Technician) bilingual Instructor, and CPR. English and Cape Verdean InstructorGlobal International Reading Literacy Institute, Inc.Brockton, MA 02301$32-$35 an hour – Part TimePhlebotomy Technician, Electrocardiography (ECG/EKG/Telemetry Technician) bilingual Instructor, and CPR.English and Cape Verdean InstructorGlobal International Reading Literacy Institute, Inc.377 Belmont StreetBrockton, MA 02301Phone: E-mail: $32-$35 an hour – Part-Time InstructorWe are currently hiring for a Monday, Wednesday, and Friday phlebotomy technician/Electrocardiography (ECG/EKG), CPR and training, and class commencement in October.We are looking for a dependable Phlebotomy Technician/Electrocardiography (EKG/Telemetry Technician Instructor for tFALMOUTH PHARMA LLC
Falmouth, MA • (27.7 miles) • Full Time • 9/9/2026
We are seeking a Pharmacy Technician to became a part of our team! You will assist in the preparation of medications under the direction of a pharmacist.Responsibilities:Prepare medication and other healthcare products for patientsProcess prescriptions using computer softwareCount and label medications, according to prescription ordersRecord and maintain log sheets for monthly ordersQualifications:Previous experience in pharmacyStrong analytical and critical thinking skillsExcellent written and verbal communication skillsStrong attention to detailAbility to adapt in a fast paced, high volume environment\nCompany DescriptionWe are a long-term care independent pharmacy with over 30 years of experience serving Cape Cod and Greater Plymouth areas; catering to residents at assisted living, memoFantastic Sitters LLC
Brighton, MA 02135 • (44 miles) • Full Time • 9/9/2026
Fantastic Sitters is seeking a dedicated, reliable caregiver to serve families in the Medford, Cambridge, Arlington, and surrounding areas. This is an excellent opportunity for someone looking for consistent work and eager to maximize their hours. Please read the entire job description before applying.About the Position:We have steady demand in this area. Caregivers who are proactive and responsive typically secure 3-5 days per week, with opportunities to work more during busier periods. Available hours and hours needed can vary week to week based on family needs. Caregivers who regularly check the app and respond quickly tend to secure the most consistent hours, and get first priority. This role is perfect for a caregiver who is responsive, motivated, and ready to build strong relationshiSaint Annes Hospital
Fall River, MA • (0 miles) • Full Time • 9/9/2026
Cath Lab Technicians are vital team members who assist doctors during invasive cardiovascular procedures such as angioplasty, cardiac catheterization, and electrophysiology.RPh On The Go
Warwick, RI 02888 • (16.2 miles) • Full Time • 9/9/2026
Pharmacist, Days (9:30am-6pm; 1:30pm-10pm, 1-2 nights a week possible) -12 weeks, contract to hireEnvironment: LTC Mail Order Shift: M-F, days (9:30am -6pm; 1:30pm -10pm) 1 to 2 nights a week possible. Job Duties:Verify, prepare, and dispense prescription medicationsCounsel patients on medications, dosage, side effects, and drug interactionsEnsure prescriptions and pharmacy operations comply with applicable laws and regulationsMaintain accurate, confidential patient and pharmacy recordsIdentify and address medication-related issues and communicate with healthcare providersCompound medications and prepare sterile solutions as neededSupervise pharmacy technicians and support staffMaintain medication and supply inventoryProvide medication management and patient education servicesRequired: PhMiddlesex Recovery, P.C.
Norton, MA 02766 • (17.8 miles) • Full Time • 9/9/2026
DescriptionJob Title: Part-Time/Contract Medical Director (OBOT Program)Location: Woburn Tower, MA (Hybrid)Position Type: Part-Time (20 hours per week, flexible schedule)OverviewMiddlesex Recovery is seeking an experienced, mission drivenMedicalDirectorto provide clinical leadership and oversight for our Office Based Opioid Treatment (OBOT) and behavioral health services. TheMedicalDirectoris responsible for ensuring the delivery of high quality, patient centered care while supporting regulatory compliance, provider development, clinical quality initiatives, and operational excellence across multiple outpatient treatment locations.This physician leader serves as the clinical authority formedicalservices and collaborates closely with operational, nursing, counseling, and administrative leadIn Home Wellcare
Providence, RI 02904 • (20 miles) • Full Time • 9/9/2026
IN HOME WELLCAREBilling and Authorizations Specialist, Home CareLocation: Providence, Rhode Island 02904, on siteJob type: Full timeReports to: Director of OperationsIndustry: Home health care servicesPay:$52,000 to $62,400 per year, based on a 40 hour weekAbout In Home WellcareIn Home Wellcare runs on four values.Professional, Ethical, Reliable, and Compassionate. They are not on a wall here, they are how we hire and how we hold each other accountable. We were built on a simple standard, that people deserve better care at home than most of them get. We are CHAP accredited, we serve Providence and the surrounding communities in English and Spanish, and we have grown every year since we opened in 2023.About the roleWe are looking for an experienced Billing and Authorizations Specialist whoCHERRY HILL MANOR
Johnston, RI • (23 miles) • Full Time • 9/9/2026
A physical therapist will examine a patient and focus on creating a recovery plan. They focus on treatments that reduce the need for surgery and prescriptive drugs. A physical therapist uses a combination of exercises, stretches, hands-on techniques and equipment to restore function or relieve pain.OSP CHILDRENS THERAPY CENTER LLC
Plymouth, MA 02360 • (26.8 miles) • Full Time • 9/9/2026
OSP Children's Therapy Center is seeking interested candidates to join our dynamic, interdisciplinary pediatric clinic. We are looking for full time and part time positions. We offer a supportive, enriching and collaborative working environment. Mentoring opportunities available from our experienced speech and language pathologists on a weekly basis.Job Description: Provide evaluation and treatment to a pediatric population with speech, language, cognitive-communicative, voice, reading/ written language, and swallowing disorders. Practice in collaboration with other members of interdisciplinary team. Educate patients, families, and others.Key ResponsibilitiesSpeech, language, cognitive-communicative, voice, reading/written language and swallowing skills are assessed according to organizatiMarthas Vineyard Hospital -HHCS
Oak Bluffs, MA • (33 miles) • Full Time • 9/9/2026
Assist patients with medical problems in the blood vessels, heart and lungs. Interview and examine patients with breathing or cardiopulmonary disorders. They also provide emergency care to patients suffering from heart attacks, drowning, or shock.Boston Medical Center - SHC
Boston, MA • (41.8 miles) • Full Time • 9/9/2026
A CT Technologist performs diagnostic imaging procedures using computed tomography (CT) equipment to assist physicians in diagnosing and monitoring various medical conditions. They ensure patient safety, produce high-quality images, and maintain imaging equipment in accordance with established protocols