This role requires a strong leader who can balance big-picture strategy with practical execution while helping build systems, culture, and long-term stability for the business. This is not an office job, and requires someone who wants to be in the arena instead of an onlooker.

The CEO is responsible for leading the overall operations, growth, profitability, and strategic direction of the company. In a small business environment, the CEO is expected to be highly hands-on and actively involved in day-to-day operations, team leadership, customer relationships, business development, and problem-solving.

Each CEO is supported by a Partner and a dedicated board. This role is a long term role, with CEOs committed to building enduring businesses.

Key Responsibilities

Leadership & Company Vision

• Develop and execute the company’s vision, goals, and growth strategy

• Lead by example with a strong work ethic and positive attitude

• Build and maintain a strong company culture focused on accountability and customer service

• Make high-level decisions regarding operations, staffing, and business direction

• Communicate company goals and expectations clearly to employees

Operations Management

• Oversee daily business operations to ensure efficiency and profitability

• Step into operational roles when needed to support the team

• Improve workflows, processes, and systems

• Monitor performance metrics and operational KPIs

• Ensure compliance with company policies, safety standards, and regulations

Financial Oversight

• Manage budgets, expenses, and profitability

• Review financial reports, cash flow, and company performance regularly

• Approve major purchases and investments

• Work to increase revenue while controlling operating costs

• Assist with pricing strategies and financial planning

Business Development & Sales

• Develop relationships with customers, vendors, and strategic partners

• Identify growth opportunities and new revenue streams

• Assist with sales efforts, customer retention, and contract negotiations

• Represent the company professionally within the community and industry

Team Management

• Hire, train, mentor, and develop employees

• Conduct performance evaluations and address personnel issues

• Help create a productive, team-oriented work environment

• Ensure departments are properly staffed and supported

• Be available to assist employees with operational challenges

CEO may also:

• Assist with dispatching, scheduling, or customer service

• Handle escalated customer issues directly

• Support field operations when necessary

• Help manage vendors, equipment, or inventory

• Participate in problem-solving across all departments

• Fill operational gaps during busy periods or staffing shortages

Qualifications

• Proven leadership and management experience

• Strong understanding of business operations and financial management

• Excellent communication and decision-making skills

• Ability to multitask and adapt in a fast-paced environment

• Strong work ethic and willingness to be hands-on

• Experience in small business operations preferred

• Industry experience preferred

The Chief Operating Officer (COO) is responsible for overseeing the daily operations of the company and ensuring the business runs efficiently, profitably, and consistently. In a small business environment, the COO plays a highly hands-on leadership role focused on operational execution, employee management, customer satisfaction, and process improvement.

The COO works closely with the CEO to implement company goals, manage teams, improve operational systems, and maintain accountability across all departments.

Key Responsibilities

Operational Leadership

• Oversee and manage the company’s day-to-day operations

• Ensure operational efficiency, productivity, and service quality

• Develop and improve operational systems, workflows, and procedures

• Monitor performance metrics and operational KPIs

• Identify operational challenges and implement solutions quickly

• Maintain company standards, policies, and compliance requirements

Team Management & Accountability

• Supervise department managers and staff

• Assist with hiring, onboarding, training, and employee development

• Create accountability systems and performance expectations

• Conduct employee evaluations and coaching

• Address operational and personnel issues professionally and promptly

• Foster a positive, team-oriented work environment

Customer Service & Client Relations

• Ensure a high level of customer satisfaction and service delivery

• Handle escalated customer concerns and operational issues

• Support customer retention efforts and relationship management

• Work with staff to improve communication and service consistency

Financial & Business Support

• Assist with budgeting, forecasting, and cost control

• Monitor operational expenses and profitability

• Help manage scheduling, labor efficiency, and resource allocation

• Support revenue growth through operational improvements

• Coordinate with leadership on strategic planning and execution

Process Improvement & Efficiency

• Analyze company operations to identify inefficiencies

• Implement systems that improve productivity and accountability

• Develop operational procedures and standard operating processes (SOPs)

• Ensure proper use and maintenance of equipment, tools, and resources

• Improve communication between departments

COO may also:

• Assist with dispatching, scheduling, or workflow coordination

• Support field operations when necessary

• Step into operational roles during busy periods or staffing shortages

• Monitor service quality and employee performance directly

• Manage inventory, vendors, or equipment needs

• Assist with problem-solving across departments

• Ensure daily operational issues are resolved quickly

Qualifications

• Proven experience in operations management or leadership

• Strong organizational and problem-solving skills

• Excellent communication and leadership abilities

• Ability to multitask in a fast-paced environment

• Strong understanding of business operations and team management

• Experience in small business operations preferred

• Industry experience preferred

The Administrator is responsible for the overall leadership, strategic direction, and daily operations of both the Home Health and Hospice programs. This role ensures regulatory compliance, operational efficiency, and exceptional patient care while driving growth and maintaining strong community relationships.

Key Responsibilities

• Provide leadership and oversight of both Home Health and Hospice operations

• Ensure compliance with Medicare Conditions of Participation (CoPs) for both programs and all state regulations

• Oversee clinical and administrative teams, including Directors of Nursing and clinical managers

• Manage budgeting, financial performance, and operational efficiency

• Drive census growth and maintain strong referral relationships

• Monitor and improve quality outcomes (Home Health Value-Based Purchasing, CAHPS, Star Ratings)

• Maintain survey readiness and lead all audits/accreditation processes

• Develop and execute strategic growth initiatives

• Foster a culture of teamwork, accountability, and compassionate care

Qualifications

• Minimum 3–5 years of leadership experience in Home Health and/or Hospice

• Strong knowledge of Medicare regulations for both Home Health and Hospice

• Proven experience managing operations, compliance, and growth

• Excellent leadership, communication, and organizational skills

• Current California RN license strongly preferred

Compensation & Benefits

• Salary: $100,000 – $145,000/year (based on experience)

• Performance-based bonus opportunities

• Health, dental, and vision insurance

• Paid time off and holidays

• Career growth and leadership development opportunities

The Hospice Registered Nurse (RN) provides compassionate, patient-centered nursing care to hospice patients and their families. The RN is responsible for assessing patient needs, developing and implementing individualized care plans, managing symptoms and pain control, and providing emotional support during end-of-life care.

This position works closely with physicians, caregivers, social workers, chaplains, and the interdisciplinary hospice team to ensure patients receive quality care focused on comfort, dignity, and quality of life.

Key Responsibilities

Patient Care

• Provide skilled nursing care to hospice patients in homes, facilities, or hospice settings

• Assess patient physical, emotional, psychosocial, and spiritual needs

• Develop, implement, and update individualized care plans

• Monitor patient conditions and document changes accurately

• Administer medications, treatments, and therapies as ordered

• Manage pain and symptom control effectively

Care Coordination

• Collaborate with physicians and interdisciplinary hospice team members

• Coordinate care plans and services for patients

• Participate in care conferences and team meetings

• Ensure continuity of care and timely communication regarding patient status

Documentation & Compliance

• Complete accurate and timely clinical documentation

• Maintain compliance with hospice regulations, policies, and standards

• Ensure patient records are updated according to agency requirements

• Follow infection control, safety, and HIPAA guidelines

Clinical Responsibilities

• Assess and respond to changes in patient condition

• Provide wound care, catheter care, medication management, and other skilled nursing services

• Perform admissions, recertifications, and discharge planning when needed

• Respond to urgent patient needs and after-hours calls as assigned

Family & Caregiver Support

• Educate patients and families on hospice care, medications, and disease progression

• Provide emotional support and guidance to patients and caregivers

• Assist families with understanding end-of-life care and expectations

• Offer compassionate communication during difficult situations

Qualifications

• Current Registered Nurse (RN) license in the applicable state

• Graduate of an accredited nursing program

• Hospice or home health experience preferred

• Strong clinical assessment and critical thinking skills

• Compassionate and patient-centered approach to care

• Excellent communication and interpersonal skills

• Valid driver’s license and reliable transportation

Physical Requirements

• Ability to lift and assist patients when necessary

• Ability to stand, walk, bend, and move throughout patient care environments

• Ability to travel between patient locations if required

• Ability to work in emotionally demanding situations

The Home Health Registered Nurse (RN) provides skilled nursing care to patients in their homes while promoting independence, recovery, and overall health management. The RN is responsible for assessing patient needs, developing and implementing care plans, educating patients and caregivers, and coordinating care with physicians and the interdisciplinary healthcare team.

This role requires strong clinical skills, critical thinking, compassion, and the ability to work independently in a home care setting.

Key Responsibilities

Patient Care

• Provide skilled nursing care to patients in their homes

• Conduct comprehensive patient assessments and ongoing evaluations

• Develop, implement, and update individualized care plans

• Administer medications, treatments, and therapies as prescribed

• Monitor patient progress and report changes in condition to physicians

• Provide wound care, catheter care, IV therapy, injections, and other nursing procedures as needed

Care Coordination

• Coordinate patient care with physicians, therapists, social workers, and other healthcare providers

• Participate in case conferences and interdisciplinary team meetings

• Ensure continuity of care and proper communication among all parties involved

• Assist with referrals and community resource coordination

Documentation & Compliance

• Complete accurate and timely documentation for all patient visits

• Maintain compliance with Medicare, Medicaid, state, and agency regulations

• Follow HIPAA, infection control, and safety guidelines

• Maintain updated patient records and care plans

Clinical Responsibilities

• Perform admissions, recertifications, transfers, and discharge planning

• Assess home environments for patient safety risks

• Respond to patient concerns and urgent healthcare needs

• Participate in on-call rotation if required

• Monitor and evaluate effectiveness of treatments and interventions

Patient & Caregiver Education

• Educate patients and families on disease management, medications, treatments, and safety

• Teach patients and caregivers how to manage care independently when possible

• Provide instruction on nutrition, mobility, infection prevention, and home safety

• Encourage patient participation in their care plans

Qualifications

• Current Registered Nurse (RN) license in the applicable state

• Graduate of an accredited nursing program

• Home health experience preferred

• Strong clinical assessment and critical thinking skills

• Excellent communication and organizational abilities

• Ability to work independently and manage time effectively

• Valid driver’s license and reliable transportation

Physical Requirements

• Ability to lift, transfer, and assist patients when necessary

• Ability to stand, walk, bend, and travel between patient homes

• Ability to work in various home environments

• Ability to perform physical nursing tasks throughout the workday

The Licensed Vocational Nurse (LVN) – Hospice provides compassionate nursing care to hospice patients under the supervision of a Registered Nurse (RN) and physician. The LVN assists in delivering comfort-focused care, symptom management, emotional support, and patient education to individuals facing end-of-life illnesses.

This position works closely with the interdisciplinary hospice team to ensure patients receive quality care that promotes dignity, comfort, and quality of life.

Key Responsibilities

Patient Care

• Provide direct nursing care to hospice patients in homes, facilities, or hospice settings

• Assist with pain and symptom management according to the patient’s care plan

• Administer medications and treatments as prescribed

• Monitor and document patient conditions and report changes to the RN or physician

• Assist with personal care and activities of daily living as needed

• Observe and report patient comfort levels and emotional needs

Documentation & Compliance

• Complete accurate and timely patient documentation

• Maintain compliance with hospice regulations, agency policies, and HIPAA guidelines

• Follow infection control and safety procedures

• Assist with maintaining updated patient records and care documentation

Team Collaboration

• Work closely with RNs, physicians, CNAs, social workers, chaplains, and other hospice team members

• Participate in care planning and interdisciplinary team meetings

• Communicate patient updates and concerns effectively to the care team

• Support coordinated care efforts to ensure quality patient outcomes

Clinical Responsibilities

• Perform basic nursing procedures and treatments

• Monitor vital signs and patient conditions

• Assist with wound care and other skilled nursing tasks within scope of practice

• Respond to patient and caregiver concerns promptly

• Assist with admissions, visits, and discharge support when needed

Family & Caregiver Support

• Provide emotional support and compassionate communication to patients and families

• Educate caregivers on patient care techniques, medications, and comfort measures

• Assist families in understanding hospice services and care plans

• Support patients and families during difficult emotional situations

Qualifications

• Current Licensed Vocational Nurse (LVN/LPN) license in the applicable state

• Graduate of an accredited vocational nursing program

• Hospice, home health, or long-term care experience preferred

• Compassionate and patient-centered approach to care

• Strong communication and interpersonal skills

• Ability to work independently and as part of a team

• Valid driver’s license and reliable transportation

Physical Requirements

• Ability to lift, transfer, and assist patients when necessary

• Ability to stand, walk, bend, and move throughout patient care environments

• Ability to travel between patient locations if required

• Ability to work in emotionally demanding situations

The Licensed Vocational Nurse (LVN) – Home Health provides skilled nursing care to patients in their homes under the supervision of a Registered Nurse (RN) and physician. The LVN assists patients with medical needs, treatments, disease management, and daily healthcare support while promoting independence, safety, and overall well-being.

This position requires strong clinical skills, compassion, organization, and the ability to work independently in a home care setting.

Key Responsibilities

Patient Care

• Provide direct nursing care to patients in their homes

• Administer medications, treatments, and therapies as ordered by the physician

• Monitor patient conditions and report changes to the supervising RN or physician

• Assist with wound care, catheter care, injections, and other nursing procedures within scope of practice

• Monitor vital signs and document patient progress

• Assist patients with activities of daily living as needed

Documentation & Compliance

• Complete accurate and timely documentation for all patient visits

• Maintain compliance with Medicare, Medicaid, state, and agency regulations

• Follow HIPAA, infection control, and safety procedures

• Ensure patient records and visit notes are updated promptly

Care Coordination

• Communicate patient updates and concerns to the RN, physician, and healthcare team

• Collaborate with therapists, CNAs, social workers, and other care providers

• Participate in patient care planning and coordination

• Support continuity of care and patient follow-up

Clinical Responsibilities

• Perform skilled nursing procedures within LVN scope of practice

• Observe and report patient response to treatments and medications

• Identify potential safety risks in the home environment

• Respond to patient concerns and urgent healthcare needs appropriately

• Assist with admissions, transfers, and discharge support when required

Patient & Caregiver Education

• Educate patients and caregivers on medications, treatments, disease management, and home safety

• Reinforce care plans developed by the RN and physician

• Teach proper use of medical equipment and infection prevention practices

• Encourage patient participation in their care and recovery

Qualifications

• Current Licensed Vocational Nurse (LVN/LPN) license

• Graduate of an accredited vocational nursing program

• Home health or healthcare experience preferred

• Strong communication and organizational skills

• Compassionate and patient-focused attitude

• Ability to work independently and manage time effectively

• Valid driver’s license and reliable transportation

Physical Requirements

• Ability to lift, transfer, and assist patients when necessary

• Ability to stand, walk, bend, and travel between patient homes

• Ability to work in various home environments

• Ability to perform physical nursing tasks throughout the workday

The Social Worker – Home Health & Hospice provides emotional support, counseling, care coordination, and community resource assistance to patients and families receiving home health or hospice services. The Social Worker helps patients navigate emotional, social, financial, and environmental challenges while supporting quality of life, patient independence, and end-of-life care needs.

This role works closely with nurses, physicians, caregivers, and the interdisciplinary care team to ensure patients and families receive compassionate, comprehensive support.

Key Responsibilities

Patient & Family Support

• Provide emotional support and counseling to patients and families

• Assess psychosocial, emotional, financial, and environmental needs

• Assist patients and families in coping with illness, disability, aging, and end-of-life issues

• Support patients and caregivers during crisis situations and difficult transitions

• Provide grief support and bereavement assistance when appropriate

Care Coordination

• Collaborate with nurses, physicians, therapists, chaplains, and other healthcare professionals

• Participate in interdisciplinary care planning and team meetings

• Assist with discharge planning and transitions of care

• Coordinate community resources and support services for patients and families

• Advocate for patient needs and access to appropriate care

Resource Management

• Connect patients and families with community programs and resources including:

  • Financial assistance

  • Counseling services

  • Transportation resources

  • Long-term care planning

  • Advance directives

  • Support groups

• Assist families with healthcare decision-making and care planning

Documentation & Compliance

• Complete timely and accurate documentation of patient visits and assessments

• Maintain compliance with agency policies, Medicare/Medicaid regulations, HIPAA, and state guidelines

• Document patient goals, interventions, and progress

• Maintain confidentiality and professional standards at all times

Hospice-Specific Responsibilities

• Provide emotional and psychosocial support for end-of-life care

• Assist families with advance care planning and funeral resource information

• Support patients and families through the grieving process

• Participate in bereavement follow-up services when required

Qualifications

• Master’s degree in Social Work (MSW) required

• Current social work license/certification as required by state regulations

• Home health or hospice experience preferred

• Strong communication and counseling skills

• Compassionate and patient-centered approach

• Ability to work independently and as part of a multidisciplinary team

• Valid driver’s license and reliable transportation

Physical Requirements

• Ability to travel between patient homes and care facilities

• Ability to sit, stand, bend, and move throughout various patient care environments

• Ability to work in emotionally demanding situations

The Heavy Duty Tow Truck Driver & Recovery Operator is responsible for safely operating heavy-duty wreckers, recovery equipment, and towing vehicles to provide towing, recovery, transport, and roadside assistance services for large vehicles and trucks.

This role requires advanced towing and recovery skills, strong problem-solving abilities, and the ability to safely handle complex recovery situations in high-pressure environments. The operator must maintain professionalism, safety, and efficiency while representing the company in the field.

Key Responsibilities

Heavy Duty Towing & Recovery

• Operate heavy-duty wreckers and recovery equipment safely

• Tow and transport commercial vehicles, tractors, buses, RVs, and heavy equipment

• Perform accident recovery, winching, uprighting, load shifts, and vehicle extractions

• Secure vehicles and cargo properly according to DOT and company safety standards

• Assess recovery scenes and determine safe recovery methods

• Work with law enforcement, emergency responders, and customers during recovery operations

Roadside Assistance Services

Provide roadside assistance for commercial and heavy-duty vehicles including:

• Jump starts

• Tire service assistance

• Air line assistance

• Fuel delivery

• Lockout services

• Minor roadside mechanical assistance

• Breakdown support

Safety & Compliance

• Follow all DOT regulations, company policies, and safety procedures

• Perform pre-trip and post-trip inspections on assigned equipment

• Maintain proper use and inspection of chains, straps, winches, rigging, and recovery equipment

• Operate equipment safely in traffic, weather, and hazardous conditions

• Report accidents, damages, mechanical issues, or safety concerns immediately

Customer Service & Communication

• Maintain professional communication with customers, dispatch, and emergency personnel

• Provide accurate ETA updates and service information

• Handle stressful and emergency situations calmly and professionally

• Represent the company positively in all field operations

• Complete required paperwork and service documentation accurately

Operational Responsibilities

• Respond promptly to dispatched calls and emergency recoveries

• Work rotating on-call, after-hours, weekends, and holiday schedules when required

• Maintain cleanliness and organization of assigned truck and equipment

• Assist with shop duties, equipment maintenance, or operational support when needed

• Support team members during major recoveries or multi-unit operations

Qualifications

• Valid driver’s license

• Valid Class A CDL

• Clean driving record preferred

• Previous heavy-duty towing and recovery experience preferred

• Knowledge of towing, rigging, and recovery procedures

• Ability to safely operate heavy-duty wreckers and recovery equipment

• Strong problem-solving and decision-making skills

• Ability to work independently and within a team environment

Physical Requirements

• Ability to lift heavy chains, straps, and towing equipment

• Ability to work outdoors in all weather conditions

• Ability to stand, climb, bend, kneel, and work in physically demanding environments

• Ability to work long hours and respond to emergency situations at any time

• Ability to safely work near traffic, accident scenes, and hazardous environments

The Light Duty Tow Truck Driver & Roadside Assistance Technician is responsible for providing safe, professional towing and roadside assistance services for passenger vehicles, small SUVs, motorcycles, and light trucks. This role requires excellent driving ability, customer service skills, and the ability to respond quickly and professionally to roadside emergencies.

The driver will operate light duty tow trucks, flatbeds, or service vehicles while assisting stranded motorists with towing, lockouts, jump starts, tire changes, fuel delivery, and other roadside services.

Key Responsibilities

Towing Services

• Safely tow and transport passenger vehicles and light-duty trucks

• Operate flatbeds, tow trucks, and roadside service vehicles

• Properly secure vehicles for transport following safety procedures

• Perform local and long-distance towing as assigned

• Conduct vehicle recoveries and winching when necessary

Roadside Assistance Services

Provide roadside assistance including:

• Jump starts

• Tire changes

• Lockout services

• Fuel delivery

• Battery assistance

• Minor roadside services

Customer Service

• Provide professional and courteous service to customers

• Communicate ETA updates and service details clearly

• Handle stressful roadside situations calmly and professionally

• Represent the company positively in the field

• Maintain strong customer satisfaction standards

Safety & Compliance

• Follow all DOT regulations, traffic laws, and company safety policies

• Conduct daily vehicle and equipment inspections

• Ensure proper use and maintenance of towing equipment

• Maintain a clean and organized tow truck/service vehicle

• Report accidents, damages, or mechanical issues immediately

Operational Duties

• Respond promptly to dispatched calls

• Use dispatch software, GPS systems, and mobile applications

• Complete required paperwork and service documentation accurately

• Maintain communication with dispatch throughout shifts

• Assist during high-volume periods and emergency situations

Qualifications

• Valid driver’s license with clean driving record

• Ability to safely operate light duty tow trucks and service vehicles

• Strong customer service and communication skills

• Ability to work independently and manage time effectively

• Basic mechanical knowledge preferred

• Previous towing or roadside assistance experience preferred

Physical Requirements

• Ability to lift heavy equipment and tools

• Ability to work outdoors in all weather conditions

• Ability to stand, bend, kneel, and climb regularly

• Ability to work nights, weekends, holidays, and on-call shifts