Trenton, MO 64683 • (26.9 miles) • Full Time • 9/22/2026

We are seeking individuals with genuine empathy and patience to help care for our residents’ needs. Applicants must have a caring approach and be willing to care for the needs of patients and the team. Pillars for successful employment are work ethic, integrity, and competence.We are currently seeking a HR MANAGER.Job Responsibilities and Duties:Manage on-site interviews and successful onboarding experienceEnsure compliance with healthcare regulations, labor laws and OSHAImplement staffing plans for proper coverage across departmentsAdminister benefits, payroll, and employee engagement programsHandle performance management and professional developmentFacilitate safety meetings, workers compensation and safety programsRequirements:Licensure/Certification:PHR/SPHR certification preferredExpe

Brookfield, MO 64628 • (28.3 miles) • Full Time • 9/22/2026

Job Summary:The HR Generalist administers the activities relating to the company payroll, benefits, and HRIS processing, including developing, implementing, and monitoring (e.g., performing internal audit and control procedures to ensure that all wages and taxes are accurate). The individual will be the company’s subject matter expert with all payroll, benefits, recruitment, onboarding, employee leave, and HRIS administration.Supervisory Responsibilities: None.Duties/Responsibilities:PAYROLL:• Process payroll for hourly, salaried, and temporary employees; including reviewing and importing hours from time and attendance system, entering tax and direct deposit information, administering regulatory requirements, e.g., garnishments, tax levies, and support orders, and other adjustments to pay

Kirksville, MO 63501 • (28.3 miles) • Full Time • 9/20/2026

Mark Twain Behavioral Health (MTBH) is a private not-for-profit Certified Community Behavioral Health Organization serving Northeast Missouri since 1975 with a wide variety of outpatient services. We strive to treat the whole person by promoting wellness as individuals work toward their personal goals of achieving a satisfying, productive and healthy lifestyle.Mark Twain Behavioral Health is seeking afull-time Human Resources Specialist for our Kirksville, Missouri office. This full-time salaried position offers competitive pay and full benefits. We offer a supportive culture of appreciation and a strong emphasis on the health and well-being of our team.Consider joining our MTBH Team! ROLE RESPONSIBILITIESAssist with new employee orientation and onboardingFacilitate benefit enrollment and