95 Patient Care jobs in Hampton

Davita, Inc. - 1060 First Colonial Road (Nursing Assistant / Health Aide) As a Patient Care Technician at Davita, Inc., you'll: Monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup; Provide direct one-on-one patient care for a safe, comfortable and hygienic dialysis treatment; Build long-term relationships with patients who are receiving treatment on average 3 times/week.Hiring Immediately >>

City/StateNewport News, VAWork ShiftSwing ShiftOverview:Sentara CarePlex Hospital is hiring a Patient Care Technician for Emergency Department - Port Warwick.Shift: SwingWeekly Hours: 36Rotating WeekendsRequirements:One of the following programs is acceptable for education: Sentara Care Partner Certification Program, successful completion of the Certified Nursing Assistant (CNA), National Certified Medical Assistant (NCMA), National Patient Care Technician (NCPCT), completion of US Navy Hospital Corps School, Emergency Services to include EMR, EMS, EMT, AEMT and Paramedic, or current student enrolled in a clinical program having completed at least one semester of a (RN, LPN, RT or PT) or current work experience within last three years as a PCT or Nursing Assistant.One year of health care experience preferred. AHA BLS certification within 90 days of hire.Patient Care Technician, Day Shift, EKGs, Blood Draws, Foley, ROM, ADLS, Ambulation, Intake and Output, IOs, Nursing Student, Enrolled in a Nursing Program, Weekend RequirementsBenefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is metSentara Port Warwick offers a unique level of convenience and comprehensive care in the heart of Newport News. Located just down the road from Oyster Point City Center and Tech Center Marketplace, the quiet neighborhood campus features a 24-hour emergency department, primary care and specialty care, advanced imaging services, therapy services, and so much more. We improve health every day, come be a part of the community.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

With paid, extensive training, you will gain the skills needed to care for our patients and build a network of other health care professionals.

What We'll Provide:

• Competitive Compensation. Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.
• Comprehensive Benefits. Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Schedule: Shifts are typically 10-12 hours, 3-4 days per week Monday (rotating) Saturdays. NO Sundays and NO overnights!

You will typically be working between 32-40 hours per week, day time shifts.

• Support for You and Your Family: Family resources, counseling sessions, Headspace, backup child and elder care, maternity/paternity leave and more.
• Long Term Patient Relationships: As a PCT you will treat and educate patients who are suffering from end stage renal disease and are receiving Kidney Dialysis treatment on average 3 times a week.
• Fast Paced: PCT's conduct patient observations, measure stats and set-up machines. You will work with your head, heart and hands each day.

What You Can Expect:

• Direct Patient Care: Spend the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.
• Technician Duties: Monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. Please note you will have exposure to blood and needles.
• Continuous Improvement: We are consistently looking for ways to improve processes for our patients and teammates as we aim to build the greatest health care community the world has ever seen.
• Teamwork: Cross functional team of technicians, nurses, dietitians, social workers and leadership. Technicians work under the supervision of a nurse.

Requirements:

• Desire to enter the health care.
• High school diploma or equivalent.
• Must be comfortable working around blood and needles.
• Must be comfortable mixing acid or bicarb.
• Physical and mental ability to work long hours (some shifts are 12+ hours) on your feet so wear comfortable shoes! Our work ends when it's safe for our patients.
• Willingness to train and work across multiple clinics within the territory as needed.
• You must be flexible on the final home clinic placement as it may be in a different location; there is also the potential to float to various clinics during and after your training.
• Health care experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification.

Are you ready to make a positive difference in a patient's life? Take the first step at careers.davita.com .

DaVita is an equal opportunity employer Vet and Disability. To learn more about what this means click here.

This position will be open for a minimum of three days.

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits. Learn more at careers.davita.com/benefits.

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

City/StateGloucester, VAWork ShiftFirst (Days)Overview:OverviewProvides non-clinical support within the clinic/practice environment and ensures an exceptional patient experience by performing a variety of complex administrative tasks to support patient care delivery. Schedules appointments or outpatient procedures under general supervision, to include required coordination of referrals, resources, and pre-authorizations as well as communication with the patient and documentation within the appropriate systems. Provides general administrative support for practice operations such as scheduling meetings, preparing correspondence, maintaining notes/minutes/files, responding to telephone and written inquiries from internal and external sources such as patients, providers, insurance companies, etc. Employs a high level of initiative and independent judgment to make decisions about appropriate prioritization and handling/routing of incoming requests and difficult problems.Three (3) years Clerical, Customer Service experience required. One year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers required. Experience with Electronic Medical Record systems preferred. An Associate's level degree in lieu of the required experience will be considered.EducationHS Diploma requiredCertification/LicensureNone requiredExperienceThree (3) years Clerical, Customer Service experience required. One year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers required. Experience with Electronic Medical Record systems preferred. An Associate's level degree in lieu of the required experience will be considered.Benefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states:Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/StateHampton, VAWork ShiftFirst (Days)Overview:Sentara CarePlex Hospital is hiring a Patient Care Technician for the Inpatient Surgical/Ortho Unit.Hours: 7:00 AM - 7:00 PMWeekly Hours: 36Education - HS - High School Grad or EquivalentRequirements:One of the following programs is acceptable for education: Sentara Care Partner Certification Program, successful completion of the Certified Nursing Assistant (CNA), National Certified Medical Assistant (NCMA), National Patient Care Technician (NCPCT), completion of US Navy Hospital Corps School, Emergency Services to include EMR, EMS, EMT, AEMT and Paramedic, or current student enrolled in a clinical program having completed at least one semester of a (RN, LPN, RT or PT) or current work experience within last three years as a PCT or Nursing Assistant.One year of health care experience preferred. AHA BLS certification within 90 days of hire.Patient Care Technician, Day Shift, EKGs, Blood Draws, Foley, ROM, ADLS, Ambulation, Intake and Output, IOs, Nursing Student, Enrolled in a Nursing Program, Weekend Requirements.Benefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is metSentara CarePlex Hospital, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/StateSuffolk, VAWork ShiftThird (Nights)Overview:As a Patient Care Technician with Sentara, you will have the opportunity to learn many new skills. From taking vitals to blood draws and daily care. The primary duties of this position include supporting the admission/discharge process, changing, bathing ambulating patients, drawing blood, foley catheter care, meeting patient needs while working under the direct supervision of a nurse. You will find that teamwork is exceptional, with everyone working together to provide the best care for our patients. Click to hear Jennifer tell us about a day in the life of a Patient Care Technician (PCT) with Sentara Healthcare. Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B with matching funds, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!Benefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is metSentara Obici Hospital, a 175-bed state-of-the-art facility, is located on Godwin Boulevard in Suffolk, VA. Our full-service hospital continues a legacy of providing residents of Western Tidewater with high-quality, patient-centered care. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be?

Joining DaVita as Patient Care Technician (PCT) is an exciting opportunity to jump start your career in the health care industry! With paid, extensive training, you will gain the skills needed to care for our patients and build a network of other health care professionals across the geography where you live. Once you have successfully completed training, you will join a holistic team of care professionals including nurses, dietitian, social workers, and other experienced PCTs to care for our patients. It's not a job, it's giving life and a career based on passion and purpose.

DaVita which is Italian for "giving life" is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.

Our PCTs also find DaVita professionally fulfilling. To help advance your career, we offer clear paths to higher levels of responsibility and compensation through our Clinical Ladders program. Through DaVita's Bridge to your Dreams program, teammates who have been in their role for six consecutive months and in good standing, are eligible to receive tuition assistance up front to pursue their dream of becoming a DaVita RN and getting their Associates Degree in Nursing. We also have dedicated training to become a Facility Administrator, and training to become a Regional Operations Director. Your success is driven by your performance and desire.

Some details about this position:

• No Dialysis experience is required.
• Training may take place in a facility or a training clinic other than your assigned home clinic
• Potential to float to various clinics during and after your training
• You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays

What you can expect:

• Direct Patient Care. Spend the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.
• Our PCTs care for multiple patients.
• Technician Duties. To monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. Please note you will have exposure to blood and needles.
• Building long-term relationships with your patients who are suffering from end stage renal disease and are receiving treatment on average 3 times/week. You will also be responsible for educating patients on Kidney Dialysis related topics.
• Team. Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN.

What we'll provide:

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave, pet insurance, and more
• Paid training

Requirements:

• Desire to enter the health care field to care for other people in need
• High school diploma or equivalent
• Must be comfortable working around blood and needles
• Must be comfortable mixing acid or bicarb
• Physical and mental ability to work long hours (some shifts are 12+ hours) on your feet so wear comfortable shoes! Our work ends when it's safe for our patients.
• Willingness to train and work across multiple clinics within the territory as needed.
• Health care experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification.

DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.

Ready to make a difference in the lives of patients? Take the first step and apply now.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

City/StateNewport News, VAWork ShiftRotatingOverview:Sentara Urgent Care J. Clyde Morris is now hiring a Flexi Patient Care Specialist based in Newport News, VA!Hours: Schedule: Clinic hours - 8:00a.m. - 8:00p.m. Monday-Friday. Saturday and Sunday, 8am-4pm. Scheduled hours and shifts may vary based on business need and candidates' availability. Shift options include 12-8 and 6-hr shifts. Some weekend shifts required. NO NIGHTS!OverviewAs a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare. EducationHS DiplomaAssociate Level degree or higher in lieu of the required experience will be consideredExperience3 years Customer Service experience required1 year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers requiredKeywords: Patient Care Representative, Talroo-Allied Health, Medical OfficeBenefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states:Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

City/StateSuffolk, VAWork ShiftFirst (Days)Overview:Start Your Healthcare Career in the ICU - Patient Care Technician Opportunity at Sentara Obici HospitalLocation: Sentara Obici Hospital, Suffolk, VASchedule: Full-Time | 3x12 Hour Shifts | Work Side-by-Side with RNsRN Students in Their Final Year Encouraged to Apply!Are you passionate about hands-on patient care and ready to make a meaningful impact every shift? Sentara Obici Hospital is looking for compassionate and reliable Patient Care Technicians (PCTs) to join our Intensive Care Unit (ICU) team in Suffolk, VA.This is more than a job-it's a steppingstone into an exciting healthcare career. Whether you're an experienced caregiver or a future RN getting your start, this role offers an unmatched opportunity to learn and grow in a fast-paced, team-oriented environment.Why This Role Rocks:Work side-by-side with top-tier Registered Nurses and critical care professionalsGain real experience in the ICU-where compassion meets complexityFlexible 12-hour shifts that give you more full days offBe part of a close-knit team that supports and teaches every step of the wayWhat You'll Do:Provide direct, hands-on care to critically ill patientsAssist with activities of daily living (ADLs), vitals, mobility, hygiene, and moreSupport RNs and clinical staff with patient monitoring and documentationHelp create a safe and comforting environment for patients and their familiesWhat We're Looking For:Minimum 1 year of hands-on patient care experience in a hospital setting (preferred)RN students in their final year of nursing school strongly encouraged to applyStrong communication, teamwork, and attention to detailA heart for patient care and a desire to grow in the healthcare fieldWhy Sentara Obici?At Sentara Obici, you're not just part of a hospital-you're part of a mission. We're committed to excellence in patient care, staff development, and community impact. Our ICU is a place where lives change daily-and so can your career.Whether you're building your foundation in healthcare or getting ready to step into an RN role, this is your chance to make a difference right now. Ready to apply? Join our team and take the next step in your healthcare journey-where learning, impact, and opportunity come together every shift.Benefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is metSentara Obici Hospital, a 175-bed state-of-the-art facility, is located on Godwin Boulevard in Suffolk, VA. Our full-service hospital continues a legacy of providing residents of Western Tidewater with high-quality, patient-centered care. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.