Holstein, IA 51025 • (41.2 miles) • Full Time • 10/9/2026

Remote | Travel to various sites as neededDescriptionThe Program Management Office (PMO) Lead is responsible for establishing, evolving, and leading the enterprise Program Management Office to ensure consistent delivery of strategic and business transformation initiatives across the organization. This enterprise-wide role provides strategic oversight for major company projects across VT’s divisions and functionsincluding operations and manufacturing, commercial, finance, people, facilities, ERP, infrastructure, applications, and process improvementensuring alignment with corporate objectives, VT governance standards, and continuous improvement practices. The PMO Lead will develop and enforce project management methodologies, provide mentorship and leadership to project managers, and ensure

Sioux City, IA 51106 • (3.9 miles) • Full Time • 9/14/2026

$10,000 Sign On BonusPosition Overview The RN Clinical Management Specialist is a qualified professional responsible for collaboration with Home Health and Hospice leadership in planning, coordinating, and delivering quality services to the client. This is a regional resource assigned as needed for interim clinical leadership, training, and/or clinical support.This position is a traveling role that will require in office training and clinical support in Cedar Rapids, Des Moines, Omaha, Council Bluffs, Sioux City, Sioux Falls, and Rochester MN branches.Essential Job FunctionsMonitors and assesses company electronic medical records (EMR) workflows and assists as needed or assignedProvides support with the intake process and admission decisionsFacilitates virtual training for newly hired/rehi

Sioux City, IA • (1.4 miles) • Full Time • 9/17/2026

Tax Manager / Director(Remote)Full-Time | Competitive Salary + Growth PotentialReports to:CFOAbout the CompanyMy client is a fast-growing, self-directed retirement account company with over$4.5 billion in assets under administrationand26,000+ accounts. We’re on a mission to make alternative asset investing more accessible while maintaining top-tier compliance and client service. With rapid growth projected to continue (35–40% annually), we’re looking to build out our in-house tax and compliance function as a key part of our next phase of expansion.The OpportunityWe’re seeking aTax Manager or early-stage Tax Directorto build and lead our in-house tax services function. This is a high-impact opportunity for someone who wants to take ownership of the process, develop a new business unit, and