40 jobs found in seattle

TeamHealth has an excellent opportunity for a full-time certified Psychiatric Nurse Practitioner to join our Behavioral Health team in Seattle, Washington. Experience in post-acute care, particularly in skilled-nursing or long-term care facilities, is a plus. Clinician will round in post-acute facilities located in Seattle. While you focus on patient care, TeamHealth supports you by providing you with flexibility and autonomy over your practice. Customize your schedule to meet your lifestyle needs and financial goals. TeamHealth Behavioral Health is built around an integrated care model and a team of primary care clinicians that ensure patients receive the highest quality medical and behavioral healthcare. We welcome the opportunity to share more information with you and learn about what you seek in a position. If you have an interest in joining TeamHealth Behavioral Health, please contact us today. Position Highlights: Unmatched flexibility to create ideal work-life balance in our scheduled presence model Business strength and stability through alignment with the leading provider of facilities-based medicine and largest network of post-acute care clinicians nationally Highly competitive salary with bi-weekly productivity bonuses Guaranteed PTO Excellent benefits that include medical, dental, vision, PTO, and 401(k) Paid professional liability insurance including tail coverage Industry leading on-boarding program with EMR, MIPS, billing and coding training, and on-site support delivered by experienced clinical educators Company issued and funded iPad with gEHRimed documentation supporting seamless remote access for enhanced team collaboration Well-developed infrastructure with extensive back-office support as well as local management

TeamHealth has an excellent opportunity for a board-certified Nurse Practitioner experienced in palliative care with an interest in geriatric care, for its Post-Acute Care practice in Seattle, Washington. We ask that you have at least one year of experience in Hospice or Palliative care. Patient rounding will take place in post-acute facilities. Put the passion back into your practice by gaining the flexibility to set your own schedule and the opportunity to build a position that matches your ideal lifestyle and career goals. Enjoy industry-leading compensation, outstanding benefits and the work-life balance you seek. We are expanding and have facilities throughout the region. Seattle is surrounded by water located between Puget Sound and Lake Washington. Seattle is an outdoor enthusiast's dream offering kayaking, hiking, and camping. Olympic Mountains and Mount Rainier can be seen from the city and ski slopes are less than two hours away. The city has an abundance of craft breweries and food markets, making it one of the Best Foodie Destinations in the USA. Position Highlights: Unmatched flexibility to create ideal work-life balance in our scheduled presence model Business strength and stability through alignment with the leading provider of facilities-based medicine and largest network of post-acute care clinicians nationally Highly competitive salary with bi-weekly productivity bonuses Guaranteed PTO Excellent benefits that include medical, dental, vision, PTO, and 401(k) Paid professional liability insurance including tail coverage Industry leading on-boarding program with EMR, MIPS, billing and coding training, and on-site support delivered by experienced clinical educators Company issued and funded iPad with gEHRimed documentation supporting seamless remote access for enhanced team collaboration Well-developed infrastructure with extensive back-office support as well as local management

Established and Inclusive Servant-Minded Practice seeks a License Psychologist, PRN in the Seattle, Renton and Bellevue, WA area! Come make a difference! We are a unique, compassionate and diverse team dedicated to providing a healing home for children, young people and adults who are vulnerable to mental illness and substance use. Company : Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features A unique learning opportunity and the chance to be a part of a multidisciplinary team that encourages growth, creative thinking, and contemporary learning. Competitive pay Located in the beautiful Pacific Northwest! The perfect home for hikers, ocean lovers, coffee fanatics, foodies, & life-enthusiasts. Role you will Play The PRN Psychologist is responsible for assessing, diagnosing, and formulating documentation and implementation of treatment plans addressing the mental and behavioral health of patients. Provides case management via triage; referrals; provider consultation; therapy sessions with individuals/families, and/or groups; and outside agencies. This position will provide coverage for both our Adult Inpatient Hospital as well our Children's Residential Program. Background Profile Licensed Psychologist through Washington State Master’s or Doctoral degree in psychology or related field Two (2) years clinical experience required; depending on assigned area, psychiatric hospital experience preferred. Child & Adolescence Psychologist Resume to Dorothy Blalock - dorothy@npnow.com IND1 www.npnow.com MSN/ Masters of Science in Nursing APRN / Advanced Practice Registered Nurse / ARNP / Advanced Registered Nurse Practitioner Established and Inclusive Servant-Minded Practice seeks a License Psychologist, PRN in the Seattle, Renton and Bellevue, WA area! Come make a difference! We are a unique, compassionate and diverse team dedicated to providing a healing home for children, young people and adults who are vulnerable to mental illness and substance use. Company: Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features A unique learning opportunity and the chance to be a part of a multidisciplinary team that encourages growth, creative thinking, and contemporary learning. Competitive pay Located in the beautiful Pacific Northwest! The perfect home for hikers, ocean lovers, coffee fanatics, foodies, & life-enthusiasts. Role you will Play The PRN Psychologist is responsible for assessing, diagnosing, and formulating documentation and implementation of treatment plans addressing the mental and behavioral health of patients. Provides case management via triage; referrals; provider consultation; therapy sessions with individuals/families, and/or groups; and outside agencies. This position will provide coverage for both our Adult Inpatient Hospital as well our Children's Residential Program. Background Profile Licensed Psychologist through Washington State Master’s or Doctoral degree in psychology or related field Two (2) years clinical experience required; depending on assigned area, psychiatric hospital experience preferred. Child & Adolescence Psychologist Resume to Dorothy Blalock - dorothy@npnow.com IND1www.npnow.comMSN/ Masters of Science in NursingAPRN / Advanced Practice Registered Nurse / ARNP / Advanced Registered Nurse Practitioner

Mission-Driven Non-Profit organization is looking to hire a Psychiatric Mental Health Nurse Practitioner/PMHNP to work in an outpatient setting in the Seattle, WA area! Open to New Graduates with psych experience! Psychiatric Mental Health Nurse Practitioner will join a collaborative team that values education and training and makes a big impact within their community Position Title: PMHNP - Outpatient Adults Company : Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features : $120,000 - $135,000/yr, depending on experience Comprehensive benefits package including health, dental, CME, and Generous 401K Excellent PTO Your Role with the Company : Part-time or Full-time positions available, no call, no weekends Psychiatric Mental Health Nurse Practitioner will be seeing Adults and Geriatrics, or just Adults PMHNP will join a supportive team that is mission-driven, and patient focused to provide the highest quality of care to its community Background Profile: Board Certified Psychiatric Mental Health Nurse Practitioner/PMHNP 1+ year of experience as an outpatient PMHNP preferred WA License is preferred For more information contact: Nathan Peeples P: 843.806.3187 Nathan@npnow.com IND1 Mission-Driven Non-Profit organization is looking to hire a Psychiatric Mental Health Nurse Practitioner/PMHNP to work in an outpatient setting in the Seattle, WA area! Open to New Graduates with psych experience! Psychiatric Mental Health Nurse Practitioner will join a collaborative team that values education and training and makes a big impact within their community Position Title: PMHNP - Outpatient Adults Company: Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features: $120,000 - $135,000/yr, depending on experience Comprehensive benefits package including health, dental, CME, and Generous 401K Excellent PTO Your Role with the Company: Part-time or Full-time positions available, no call, no weekends Psychiatric Mental Health Nurse Practitioner will be seeing Adults and Geriatrics, or just Adults PMHNP will join a supportive team that is mission-driven, and patient focused to provide the highest quality of care to its community Background Profile: Board Certified Psychiatric Mental Health Nurse Practitioner/PMHNP 1+ year of experience as an outpatient PMHNP preferred WA License is preferred For more information contact: Nathan Peeples P: 843.806.3187 Nathan@npnow.comIND1

Mission-Driven Non-Profit organization is looking to hire a Psychiatric Mental Health Nurse Practitioner/PMHNP to work in an outpatient setting in the Seattle, WA area! Open to New Graduates with psych experience! Psychiatric Mental Health Nurse Practitioner will join a collaborative team that values education and training and makes a big impact within their community Position Title: PMHNP - Outpatient Geriatrics Company : Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features : $120,000 - $135,000/yr, depending on experience Comprehensive benefits package including health, dental, CME, and Generous 401K Excellent PTO Your Role with the Company : Full-time position, no call, no weekends Psychiatric Mental Health Nurse Practitioner will be seeing just Geriatrics and traveling to Nursing homes around Seattle PMHNP will join a supportive team that is mission-driven, and patient focused to provide the highest quality of care to its community Background Profile: Board Certified Psychiatric Mental Health Nurse Practitioner/PMHNP 1+ year of experience as an outpatient PMHNP preferred WA License is preferred For more information contact: Nathan Peeples P: 843.806.3187 Nathan@npnow.com IND1 Mission-Driven Non-Profit organization is looking to hire a Psychiatric Mental Health Nurse Practitioner/PMHNP to work in an outpatient setting in the Seattle, WA area! Open to New Graduates with psych experience! Psychiatric Mental Health Nurse Practitioner will join a collaborative team that values education and training and makes a big impact within their community Position Title: PMHNP - Outpatient Geriatrics Company: Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features: $120,000 - $135,000/yr, depending on experience Comprehensive benefits package including health, dental, CME, and Generous 401K Excellent PTO Your Role with the Company: Full-time position, no call, no weekends Psychiatric Mental Health Nurse Practitioner will be seeing just Geriatrics and traveling to Nursing homes around Seattle PMHNP will join a supportive team that is mission-driven, and patient focused to provide the highest quality of care to its community Background Profile: Board Certified Psychiatric Mental Health Nurse Practitioner/PMHNP 1+ year of experience as an outpatient PMHNP preferred WA License is preferred For more information contact: Nathan Peeples P: 843.806.3187 Nathan@npnow.comIND1

Mission-Driven Non-Profit Organization is Hiring an Experienced Registered Nurse/ RN to Work in a Nurse Manager Role in the Seattle, WA area! Nurse Manager will join a collaborative team that values education and training and makes a big impact within their community. Position Title: Registered Nurse Company : Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features : $90,000 - $108,000/yr, depending on experience $10,000 sign on bonus (if 5+ years experience) Comprehensive benefits package including health, dental, CME, and Generous 401K Excellent PTO Your Role with the Company : Full-time position, M-F days, light call 3 Nurse Managers will rotate weekend call – pay differentials for call Nurse Manager will be overseeing 6 RNs and 20 Mental health Techs Setting – Children’s residential facility – high acuity patients that are involuntary Nurse Manager will join a supportive team that is mission-driven, and patient focused to provide the highest quality of care to the community Background Profile: 5 yrs experience min with BSN Bachelor's degree or 4 years experience in lieu of degree will be considered. Master’s degree preferred. Current license as a Registered Nurse in the State of Washington 5 years of clinical experience in professional or technical role/function 3 years of experience in a supervisory or lead capacity National Provider Identifier (NPI) or ability to obtain before your first day of employment Current WA State Food Handlers permit. Current First Aide and CPR Certification. WA License is preferred www.npnow.com MSN/ Masters of Science in Nursing APRN / Advanced Practice Registered Nurse / ARNP / Advanced Registered Nurse Practitioner Mission-Driven Non-Profit Organization is Hiring an Experienced Registered Nurse/ RN to Work in a Nurse Manager Role in the Seattle, WA area! Nurse Manager will join a collaborative team that values education and training and makes a big impact within their community. Position Title: Registered Nurse Company: Founded in 1884, this nonprofit medical group has created three innovative organizations One of the largest providers of community mental health services in Washington Awarded the Gold Seal of Approval from The Joint Commission for Hospital and Behavioral Health Care Accreditation Member of the Behavior Health Consortium ensuring that all people have the support, skills and tools to attain and maintain behavioral health and wellness, no matter how severe Benefits and Features: $90,000 - $108,000/yr, depending on experience $10,000 sign on bonus (if 5+ years experience) Comprehensive benefits package including health, dental, CME, and Generous 401K Excellent PTO Your Role with the Company: Full-time position, M-F days, light call 3 Nurse Managers will rotate weekend call – pay differentials for call Nurse Manager will be overseeing 6 RNs and 20 Mental health Techs Setting – Children’s residential facility – high acuity patients that are involuntary Nurse Manager will join a supportive team that is mission-driven, and patient focused to provide the highest quality of care to the community Background Profile: 5 yrs experience min with BSN Bachelor's degree or 4 years experience in lieu of degree will be considered. Master’s degree preferred. Current license as a Registered Nurse in the State of Washington 5 years of clinical experience in professional or technical role/function 3 years of experience in a supervisory or lead capacity National Provider Identifier (NPI) or ability to obtain before your first day of employment Current WA State Food Handlers permit. Current First Aide and CPR Certification. WA License is preferred www.npnow.comMSN/ Masters of Science in NursingAPRN / Advanced Practice Registered Nurse / ARNP / Advanced Registered Nurse Practitioner

Psychiatric Nurse Practitioner Must be PMHNP certified Relo Sign On $130k and up Skilled Nursing facility close to you Post Acute Care - Geriatric No call No weekends No Nights

We are seeking 2 Psych certified Nurse Practitioners to join a growing Behavioral Healthcare group. Lets discuss We are opening a brand new E&T and secure detox facility mid-September and I will need at least 2 Psych ARNP's 2 openings (both 12 hour shifts) and we're planning on opening later in September or early October. The person hired could start right away and train in our other recovery center in Seattle Psych certification needed / PMHNP Hours/shifts/weekends/call? 3 12 hour shifts either days/NOC 7a-7:30p vice versa Seeing all ages? Secure detox and Eval and treatment facility - 32 beds total 18+ Patients a day? Brand new site, unsure but total beds 32 (16 each side) Comp range? Low $60.96 Max $91.36 Joining other Providers? Eventually :) Relocation for the right candidate? Possibly Full time benefited? Yes - effective month following date of hire

Swedish Health Services - Full Time Hours:M-F 8a-5p New Graduates Call Schedule: No Call Sign-On Bonus Compensation: Salaried, Incentive/Bonuses Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington- Seeking an excellent Psychiatry nurse practitioner with experience or training in Oncology. Full-time position with a desirable Monday- Friday schedule, no call. Outpatient only. Competitive compensation; comprehensive benefits. Experience in Psychiatry or Oncology preferred, but passionate new graduates will be considered. This position will be responsible for their own patient panel, seeing patients mainly at the First Hill location with the potential to expand to other locations in Edmonds/Issaquah. This is a rare opportunity to participate in an integrated multidisciplinary consultative role. Join Swedish Cancer Institute's Behavioral Health Service and provide meaningful work in the beautiful city of Seattle, the heart of the Pacific Northwest.

Swedish Health Services - Full Time New Graduates Call Schedule: No Call Sign-On Bonus Compensation: Hourly Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an excellent nurse practitioner or physician assistant with advanced heart failure experience. Full-time position. Mix of inpatient and outpatient care. Competitive compensation. Experienced clinician with knowledge of LVAD and ECMO management preferred, but new graduates are welcome to apply. Great opportunity to join an expanding and well-supported team at Swedish Medical Group?s dedicated Advanced Heart Failure clinic caring for patients with complex conditions. Enjoy rewarding work with a dynamic and collegial team, coupled with excellent quality of life in the scenic beauty of the Pacific Northwest.

Providence Health & Services - Full Time Call Schedule: No Call Sign-On Bonus Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Swedish Express Care is seeking an exemplary nurse practitioner or physician assistant to join our retail team in Seattle, Washington. Candidates must have a minimum of two years of experience. Full-time float position with highly desirable shift-based schedule, consistent clinic hours, and scheduled appointments.

Swedish Health Services - Full Time Sign-On Bonus Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an excellent nurse practitioner or physician assistant with Neurology experience. Full-time position. Competitive compensation; comprehensive benefits. Experienced clinician preferred, but new graduates are welcome to apply. Join a well-established team at Swedish Neuroscience Institute?s Stroke Clinic on the Swedish Cherry Hill campus. This is a great opportunity to join the Swedish family of providers while you enjoy outstanding quality of life in the scenic beauty of the Pacific Northwest.

Swedish Health Services - Full Time New Graduates Call Schedule: No Call Sign-On Bonus Compensation: Hourly Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an excellent nurse practitioner or physician assistant with advanced heart failure experience. Full-time position. Desirable schedule with no nights or weekends. Mix of inpatient and outpatient care. Competitive compensation. Experienced clinician preferred, but new graduates are welcome to apply. Great opportunity to join an expanding and well-supported team at Swedish Medical Group?s dedicated Advanced Heart Failure clinic caring for patients with complex conditions. Enjoy rewarding work with a dynamic and collegial team, coupled with excellent quality of life in the scenic beauty of the Pacific Northwest.

Swedish Health Services - Per Diem Hours:8:00 am - 8:00 pm Sign-On Bonus Compensation: Hourly Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Primary Care nurse practitioner or physician assistant. Per Diem position with highly desirable shift-based schedule, consistent clinic hours, and scheduled appointments at a several area retail clinics. Competitive compensation. A minimum of one to three years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is preferred. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Responsibilities will include both in-person and virtual visits from patients, with the possibility of in-home visits. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in the scenic beauty of the Pacific Northwest.

Swedish Health Services - Per Diem Sign-On Bonus Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Primary Care nurse practitioner or physician assistant. Per Diem position with highly desirable shift-based schedule, consistent clinic hours, and scheduled appointments at a several area retail clinics. Competitive compensation. A minimum of one to three years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is preferred. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in the scenic beauty of the Pacific Northwest.

Swedish Health Services - Full Time Hours:8:00 am - 8:00 pm Sign-On Bonus Compensation: Hourly Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Family nurse practitioner. Full-time position with highly desirable shift-based schedule, consistent clinic hours, and scheduled appointments. Competitive compensation and comprehensive benefits package offered, with the possibility of a sign-on bonus. A minimum of two years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is required. This position includes a high level of autonomy, with strong administrative and physician support. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Responsibilities will include both in-person and virtual visits from patients, with the possibility of in-home visits. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in Washington?s Emerald City, Seattle.

Swedish Health Services - Full Time Hours:8:00 am - 8:00 pm, 365 days a year Call Schedule: No Call Sign-On Bonus Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Family nurse practitioner or physician assistant. Full-time float position with highly desirable shift-based schedule working 3 shifts per week, consistent clinic hours, and scheduled appointments. Competitive compensation and comprehensive benefits package offered, with the possibility of a sign-on bonus. A minimum of one to three years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is required. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Responsibilities will include both in-person and virtual visits from patients. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in the beauty of the Pacific Northwest.

Swedish Health Services - Full Time Hours:8:00 am - 8:00 pm, 365 days a year Call Schedule: No Call Sign-On Bonus Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Family nurse practitioner or physician assistant. Full-time float position with highly desirable shift-based schedule working 3 shifts per week, consistent clinic hours, and scheduled appointments. Competitive compensation and comprehensive benefits package offered, with the possibility of a sign-on bonus. A minimum of one to three years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is required. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Responsibilities will include both in-person and virtual visits from patients. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in the beauty of the Pacific Northwest.

Swedish Health Services - Per Diem Sign-On Bonus Compensation: Hourly Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Primary Care nurse practitioner or physician assistant. Per Diem position with highly desirable shift-based schedule, consistent clinic hours, and scheduled appointments at several area retail clinics. Competitive compensation. A minimum of one to three years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is preferred. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in the scenic beauty of the Pacific Northwest.

Swedish Health Services - Per Diem Sign-On Bonus Compensation: Hourly Benefits: To be discussed with PS+D/Employer Additional Info: Seattle, Washington - Seeking an exemplary Primary Care nurse practitioner or physician assistant. Per Diem position with highly desirable shift-based schedule, consistent clinic hours, and scheduled appointments at several area retail clinics. Competitive compensation. A minimum of one to three years of clinical experience in Primary Care, Urgent Care or Emergency Medicine is preferred. Ideal candidate will be collaborative, motivated and have a passion for practice building and creating more convenient access to health care. Join the dedicated and compassionate team of providers with Swedish Express Care, where you?ll enjoy excellent work/life balance in the scenic beauty of the Pacific Northwest.