[Hiring] Chief Operating Officer / Integrator @VisionSpark

Role Description

Are you a smart, thoughtful executive who loves solving big problems and helping good people get even better? Do you bring high standards, strong judgment, and the confidence to challenge ideas and ask hard questions while still leading with empathy? Are you energized by growth, change, and the opportunity to build something exceptional? If you are a positive, low-ego leader who wants to make a meaningful impact, we want to talk to you!

Our ideal COO / Integrator is:

• Sharp and capable: You understand how a business works, quickly see what matters, and ask questions that get to the heart of an issue.
• Decisive with a sense of urgency: You are comfortable making decisions and moving things forward.
• Empowering and high-trust: You want strong people around you and give them room to lead.
• Highly accountable: Excellence matters to you, and you expect commitments to mean something.
• Polished and prepared: You bring a high level of professionalism to how you present yourself, communicate, and prepare.
• Service-minded and patient-focused: You never lose sight of the people behind the work.

ElevateRT is building something ambitious: a company that can grow across the country while continuing to raise the standard of care and invest in the people behind it. As COO / Integrator, you will help shape how ElevateRT grows and build the kind of company capable of sustaining that growth.

Responsibilities

• Build a strong Visionary / Integrator partnership that turns company direction into clear priorities, decisions, and results.
• Own the business plan and P&L, keeping growth, profitability, capacity, and investment decisions connected.
• Lead the executive team with clear expectations, strong accountability, and the right people in the right seats.
• Build the organizational systems, structures, and leadership capacity needed to drive and sustain aggressive multi-state growth.
• Simplify how work gets done, removing unnecessary steps and strengthening the processes that matter most.
• Strengthen coordination across Clinical, Operations, Finance, Revenue Cycle, Sales, and Technology.
• Improve the consistency of facility onboarding, staffing, training, optimization, and client support as ElevateRT enters new markets.
• Protect client relationships, clinical quality, and service standards as the company grows.
• Develop strong leaders who own their lanes, make good decisions, and raise the level of the people around them.
• Protect ElevateRT’s culture of excellence, empathy, accountability, and empowerment as the team expands.
• Use EOS to keep priorities clear, commitments visible, and the leadership team focused on the right issues.
• Take ownership of major company-wide priorities that do not sit cleanly within one function and drive them through to completion.

This is a full-time, remote role with monthly travel and occasional additional travel based on business needs.

Qualifications

• 3–5+ years directly leading a fast-growing company, division, or similar operating entity.
• P&L ownership, including responsibility for profitability and using financial data to guide business decisions.
• Experience helping scale a business from approximately $20M to $50M+ in revenue.
• Experience leading through multiple layers of management in a 100+ employee organization.

Preferred Qualifications

• Experience in a service-based business where people and service delivery are central to the customer experience.
• Experience leading multi-location operations across multiple teams, markets, or locations.
• Experience leading expansion across multiple states, markets, or regions.
• Experience in a regulated environment, including compliance, reimbursement, accreditation, or similar requirements.
• Healthcare leadership experience, especially in ancillary or service-based healthcare.

Desired Qualifications

• MBA, healthcare-related advanced degree, or similar advanced business training.
• Experience with EOS® or a similar operating system.

Benefits

• Medical, Dental, Vision, 401(k), PTO and holidays.

Company Description

At Elevate Respiratory Therapy Group, we’re dedicated to revolutionizing respiratory care in skilled nursing facilities. With a passionate team of experts, cutting-edge technology, and personalized approaches, we elevate standards and transform lives, one breath at a time.

With over 30 years of skilled nursing facility management experience, ElevateRT’s founding members lead with vision, guiding the team toward innovative solutions and pioneering approaches in respiratory staffing that are helping shape the future of healthcare.

Core Values

• Excellence
• Lifelong Learning
• Empathy
• Visionary Leadership
• Accountability
• Teamwork
• Empowerment

Why Work With Us?

ElevateRT is solving meaningful problems in healthcare while building a strong, growing business. The work has a real impact on patients, employees, and the facilities we serve, and there is a lot of opportunity ahead as the company continues to expand.

There is also a shared sense of purpose across the leadership team. People are encouraged to speak openly, challenge ideas, and focus on what is best for the company without a lot of ego. As ElevateRT grows, there is real opportunity for strong leaders to contribute, grow with the business, and be part of what comes next.

Salary

$240,000 - 260,000 + performance-based bonus

Ready to elevate what’s possible in respiratory care? Apply today!