NewTravel Nurse Manager RN - Maternal - Newborn - $3,730 per week Talent4HealthTravel Nurse Manager RN - Maternal - Newborn - $3,730 per weekConcord, MASeeking an experienced Nurse Manager to oversee daily operations of the Mother/Baby unit while supporting the broader OB Department, including Labor & Delivery, Postpartum, and Special Care Nursery. Talent4Health, based in Wilmington, DE is a one stop solution that offers access to an inclusive network of excellent healthcare professionals through its state-of-the-art recruitment strategies and extensive career opportunities.
NewManager, SAP Technical Innovation - SAP Business AI KPMGManager, SAP Technical Innovation - SAP Business AIBoston, MAExperience on Business Technology Platform (BTP), Core Data Services (CDS) Views, ABAP Managed Database Procedures (AMDP), Workflows, Intermediate Documents (IDOCs), Open Data Protocol (OData), Fiori, Business Add-Ins (BADIs), Business Application Programming Interfaces (BAPIs). If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.
Contracts Manager III (MA) GCR Professional ServicesContracts Manager III (MA)Andover, Massachusetts$45–$53 / hourContractorThe Contracts Manager will play a crucial role in managing and overseeing contractual agreements and relationships with clients, suppliers, and other stakeholders in the defense and aerospace industry. Risk Management: Identify and assess potential risks and liabilities associated with contracts and propose appropriate mitigation strategies.
NewP&C Customer Service Representative Vaco LLCP&C Customer Service RepresentativeSwampscott, MA$55,000–$80,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewManager, Boomi Integration Architect KPMGManager, Boomi Integration ArchitectBoston, MAStrong working knowledge of major cloud platforms (AWS, Azure, or GCP) and related cloud-native integration services (e.g., AWS SQS/SNS, Azure Service Bus, Pub/Sub); Experience with CI/CD pipelines and DevOps practices in an integration context. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness, and safeguard business operations and company reputation.
NewChemistry Account Manager Waters CorporationChemistry Account ManagerCambridge, MAWe collaborate with customers around the world to advance the release of effective, high-quality medicines, ensure the safety of food and water, and drive better patient outcomes by detecting diseases earlier, managing routine infections, and combating antibiotic resistance. Responsibilities will include delivering technical presentations and taking part in workshops and demonstrations to sell chemistry consumables products into a wide variety of markets, including life science, pharmaceutical, food and environmental, clinical and chemical materials.
Food Service Manager - Boston University, West Campus AramarkFood Service Manager - Boston University, West CampusBOSTON, MA$70,000–$75,000 / yearAdopt all Aramark processes and systems, understand performance metrics, data, order and inventory trends; educate teams on key levers to improve margins. BENEFITS: Aramark offers comprehensive benefit programs and services for eligible employees including medical, dental, vision, and work/life resources.
Senior Product Commercialization Manager AtriumSenior Product Commercialization ManagerHudson, MA$140,000–$185,000 / yearThey partner closely with physicians and clinical stakeholders to bring innovative products to market and are known for a collaborative, cross-functional culture spanning Sales, Marketing, Clinical Affairs, Regulatory, and Operations. The role carries significant cross-functional leadership responsibility and positions the incoming Senior Product Commercialization Manager as the internal subject-matter expert for their category.
NewManager/Senior Manager, Business Tax Services - Private Clients KPMGManager/Senior Manager, Business Tax Services - Private ClientsBoston, MALicensed CPA, EA or JD/LLM, in addition to others on KPMG's approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Responsibilities: Advise clients and be accountable for delivering high quality tax service and advice and play a key role in growing KPMG's private client tax practice, which focuses on ultra-high net worth individual, trust and estate clients.
Senior Manager, Supply Chain Operations SymboticSenior Manager, Supply Chain OperationsMalden, MA$135,000–$185,900The ideal candidate is a disciplined, analytical leader who thrives in cross-functional environments, proactively identifies supplier and operational risks, strengthens controls, enhances transparency, and drives supplier performance to support complex, capital-intensive project timelines. The group oversees project planning, supply planning, material and inventory management, spares/RSPL procurement and logistics, ensuring materials and equipment are available when and where needed to support installation, commissioning, and ongoing site operations.
NewCustomer Service Representative Vaco LLCCustomer Service RepresentativeLittleton, MA$20–$25 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewManager/Senior Manager, Alternative Investments KPMGManager/Senior Manager, Alternative InvestmentsBoston, MABachelor's degree from an accredited college/university; Licensed CPA, JD/LLM or EA, in addition to others on KPMG's approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Qualifications: Minimum five years of recent corporate tax experience in the financial services industry supporting alternative investments (investment partnership and/or mutual fund tax experience); previous experience as a tax manager with a public accounting firm.
NewTax Manager/Tax Senior Manager, Real Estate KPMGTax Manager/Tax Senior Manager, Real EstateBoston, MABachelor's degree from an accredited college/university; Licensed CPA, EA or JD/LLM, in addition to others on KPMG's approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Additional Qualifications for Senior Manager: Minimum eight years years of recent experience as a tax manager with a public accounting firm; must have recent partnership tax experience in the financial services industry specific to real estate and real estate private equity funds.
NewMate (Assistant Store Manager) Trader Joe'sMate (Assistant Store Manager)Peabody, MATo begin your journey and join our Crew as a Mate, we'd want you to have: * 3+ years of recent retail, restaurant, or hospitality experience * 2+ years of recent experience at the management or supervisory level * A high school degree or equivalent * A history of developing individuals and teams through empowerment and integrity We can't wait to meet you! If you: * Thrive in a collaborative environment * Want to hone your leadership skills * Learn how a successful brand delivers * Be part of an amazing growth company * And have fun at work We just might be the place for you!
NewFMS Program Manager, Senior - Secret DCS CorporationFMS Program Manager, Senior - SecretBedford, MA$90,220–$180,000 / yearThe Air Force Program Execution Office for PEO Electronic Systems (AFPEO/HB) has the collective Air Force Materiel Command (AFMC) mission responsibility to manage and execute the modernization, development, testing, production, fielding, and sustainment of the PEO Command and Control portfolio, which includes over 130 programs for the United States Air Force (USAF) and foreign allies. Serve as a representative of the program office to international customers, including the partner nation Ministry of Defense (MOD), Office of Defense Cooperation (ODC), and Air Force stakeholders, and respond to programmatic questions related to acquisition, cost, schedule, and performance.
NewProgram Manager, Senior - TS DCS CorporationProgram Manager, Senior - TSBedford, MA$90,220–$188,000 / yearCommand, Control, Communications, and Battle Management (C3BM) has been tasked with delivering an integrated Department of the Air Force (DAF) Battle Network providing resilient decision advantage and enabling the USAF, USSF, Joint, and Coalition Force to win against the pacing challenge. C3BM’s main efforts are Architecture and Systems Engineering (ASE), Operational Response Team (ORT), and multiple mission integration teams such as Air, Maritime, and multiple acquisitions consisting of both the Advanced Battle Management System (ABMS) and Space.
NewEnvironmental Services Department Manager Healthcare Services Group, Inc.Environmental Services Department ManagerWESTFORD, MAJoin Healthcare Services Group (HCSG) as an Account Manager, leading housekeeping, laundry, and floor care teams in a long-term care facility. Additional Pay Information: Offered salary rates for this position are determined based on applicant qualifications, experience, education, and the specific needs, aspects, operational considerations, and requirements of the facility serviced.
Regional Sales Manager - Thermal / Heating - East Coast Michael Page USARegional Sales Manager - Thermal / Heating - East CoastBoston, MA$120,000–$150,000 / yearFull timeIts reputation is built around reliable domestic production, rapid prototyping, and advanced heat-transfer technologies such as cold plates, heat pipes, vapor chambers, and liquid-cooled systems used in demanding, high-reliability environments. Our client is a thermal management manufacturer specializes in engineered cooling solutions for high-performance electronics, serving sectors such as aerospace, defense, industrial automation, telecommunications, and energy systems.
NewManager/Senior Manager, International Tax - Transactions KPMGManager/Senior Manager, International Tax - TransactionsBoston, MA$107,160–$238,165 / yearCandidates with international corporate tax experience should have previous experience with several of the following common international tax planning areas: outbound transactional structuring, Subpart F and 954(h), inbound transactional structuring, check the box principles, U.S. tax treaty research and interpretation, repatriation strategies, intellectual and intangible property planning, structured finance, base shifting, FSC/EIE, foreign tax credit planning, transfer pricing, and international mergers and acquisitions. Bachelor's degree from an accredited college/university; Licensed CPA, JD/LLM or EA, in addition to others on KPMG's approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list.
Test Engineering Manager - Semiconductor - Amesbury, MA Michael Page USATest Engineering Manager - Semiconductor - Amesbury, MAAmesbury, MA$140,000–$160,000 / yearFull timeThe Test Engineering Manager is responsible for leading a team focused on developing digital, analog, mixed-signal, and automated semiconductor test solutions while supporting ongoing manufacturing operations. This leadership role drives test capability development, yield improvements, cost reductions, cycle time optimization, and technical team development to support business and customer objectives.
NewConfiguration Manager, Senior - Secret DCS CorporationConfiguration Manager, Senior - SecretBedford, MA$90,220–$140,000 / yearDCS has an exciting opportunity for a Senior Configuration Manager providing support to the Air Force Life Cycle Management Center-Ground Base Air Defense Sensor division (AFLCMC/ESG). Support engineering assessments and maintain documentation required for audits such as Physical Configuration Audits (PCA) and Functional Configuration Audits (FCA).
Program Manager, Senior - Secret DCS CorporationProgram Manager, Senior - SecretBedford, MA$87,934–$150,000 / yearThe Air Force Program Execution Office for PEO Digital (AFPEO/HB) has the collective Air Force Materiel Command (AFMC) mission responsibility to manage and execute the modernization, development, testing, production, fielding, and sustainment of the PEO Electronic Systems portfolio, which includes over 130 programs for the United States Air Force (USAF) and foreign allies. Risk Management: Develop, maintain, and execute program risk management plans, facilitating risk identification, analysis, and mitigation while coordinating program risk boards and working groups.
Strategic Sourcing Manager AtriumStrategic Sourcing ManagerLexington, MA$45–$50 / hourThis position will partner with internal R&D stakeholders and external suppliers to execute sourcing initiatives, support supplier selection and negotiations, manage vendor relationships, and identify opportunities to improve cost, quality, and operational efficiency. The Strategic Sourcing Manager will support sourcing and procurement activities across the Research and Development organization, with a particular focus on clinical services and Contract Research Organization (CRO) sourcing.
NewAssistant General Manager EXCHANGE ST HOTEL LLCAssistant General ManagerBoston, MAMonitoring of staff to ensure the adherence to established policies and procedures; delegation of duties; property inspections; and willingness and ability to engage in effective communication with field office support staff and property owners. The Assistant General Manager is an ambassador for the hotel and provides leadership and strategic planning to all departments in support of our service culture, maximized operational performance and guest satisfaction.
Practice Manager (IP Litigation) Page GroupPractice Manager (IP Litigation)Boston, MA$153,000–$192,000 / yearFull timeThe Practice Manager for the IP and IP Litigation Practice will oversee the day-to-day operations of assigned offices, ensuring seamless functionality and optimal efficiency. This role requires strong organizational and management skills to support the team in delivering outstanding client services.
NewPart-Time Retail Sales Manager Duluth Trading CompanyPart-Time Retail Sales ManagerBurlington, MA$22.08–$24.51From ingenious Duluth workwear, to comfortably capable Buck Naked Underwear, to outside-embracing AKHG, it’s all about the innovative gear and gadgets that equip customers for a more hands-on way of life. Top-notch quality, immersive storytelling, outstanding customer service, and the shared belief that the go-all-in-and-dig-deep spirit exists with everyone are what sets Duluth Trading Co. apart.
NewProject Controls Manager MasTec IndustrialProject Controls ManagerNashua, NH$150,000–$200,000May need to maintain physical strength and stamina; Use arms, hands, and legs fully; Push, pull, and frequently lift and carry objects weighing up to 50 pounds; and stoop, kneel, balance, crouch, crawl, and climb to perform job tasks. This role provides oversight, training, and governance of cost control processes to ensure accuracy, consistency, and effective project performance management across MasTec Industrial.
NewAssistant Property Manager, Manchester NH Forest PropertiesAssistant Property Manager, Manchester NHManchester, NH$60,000–$65,000 / yearThe Assistant Property Manager provides high-quality customer service by fostering a positive and collaborative relationship with colleagues, vendors, contractors, potential and existing residents, communities, and associated agencies. Responsible for all phases of the leasing cycle: post apartment vacancies; process new applications & communicate application status; enter payments; lease renewals; and coordinate move-ins/move-outs.
District Service Manager Penske Truck RentalDistrict Service ManagerLONDONDERRY, NHWillingness to travel as necessary, work the required schedule, work at the specific location required, complete Penske employment application, submit to a background investigation (to include past employment, education, and criminal history) and drug screening are required. • The associate must be able to perform all work adhering to DOT, OSHA, and all Penske safety and maintenance policies; including but not limited to the correct selection and use of appropriate tools, PPE, machine guarding, and established best safety practice.
NewEvent Manager - Boston University - GSU Catering AramarkEvent Manager - Boston University - GSU CateringBoston, MA$31.68–$33 / hourPlated Meals, Bar Mitzvah?s & Weddings) events and provide direct, on-floor leadership during banquets and catered events by coordinating service execution and directing Banquet Servers and Banquet Porters. This position works closely with the Directors, fellow Event Managers, Sales & the culinary team to ensure events are executed smoothly and professionally.
NewFood and Beverage Manager - House of Blues AramarkFood and Beverage Manager - House of BluesBoston, MA$70,000–$80,000 / yearResponsible for entire food and beverage operation, including quality control, staffing, event preparation, kitchen operations, dining room operations and management development. BENEFITS: Aramark offers comprehensive benefit programs and services for eligible employees including medical, dental, vision, and work/life resources.
Project Manager - Life Sciences - Boston, MA Michael Page USAProject Manager - Life Sciences - Boston, MABoston, MA$125,000–$150,000 / yearFull timeOur client is a growing Owner's Project Management (OPM) firm seeking an experienced Project Manager to support a rapidly expanding portfolio of Life Science and laboratory construction projects throughout the Greater Boston market. The firm partners with leading institutions, developers, and corporate clients across Life Sciences, higher education, multifamily, assisted living, and commercial sectors.
NewCustomer Service Rep (Littleton, MA) Vaco LLCCustomer Service Rep (Littleton, MA)Boxborough, MA$24–$25 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
NewGlobal Pharma Marketing Manager Waters CorporationGlobal Pharma Marketing ManagerCambridge, MALead cross-functional planning and coordination of global marketing and enablement activities across channels, partnering with product, field marketing, sales, applications teams, and growth marketing to develop consistent messaging and ensure aligned execution. • Open and effective communication style, excellent public presentation skills, strong people skills, cross-organizational teamwork and the ability to interact with and influence the direction of key opinion leaders.
NewGeneral Manager Camarillo Fitness Management Holdings LLCGeneral ManagerNorth Andover, MA$55,000–$63,000 / yearJob Description Job Description CamFit is a multi-studio Orangetheory Fitness franchisee committed to delivering a world-class fitness experience through science-backed, heart rate-based interval training. Deliver a membership prescription based on each prospective member's stated goals, schedule, and lifestyle, connecting those needs directly to the appropriate membership type offered.
Manager Test Engineer - Newbury, MA Michael Page USAManager Test Engineer - Newbury, MANewbury, MA$150,000–$160,000 / yearFull timeOperating within a highly technical environment, the company supports a diverse customer base and is committed to delivering high-quality solutions through advanced engineering capabilities, continuous improvement, and a strong customer-focused culture. This role combines technical expertise, strategic planning, and people leadership to drive operational excellence, product quality, and continuous improvement across a growing technology-focused organization.
NewTerritory Manager AxelonTerritory ManagerPortsmouth, NHProvide an approved fully insured vehicle, the insurance, fuel, and maintenance, and various technological tools necessary to successfully operate an assigned sales territory, including but not limited to designated mobile devices (tablets, iPad, and phones). Present products and services to existing and prospective customers using sample boards, product demo, and the mobile store.
Construction Manager - Residential - Carlisle, MA Michael Page USAConstruction Manager - Residential - Carlisle, MAActon, MA$125,000–$150,000 / yearFull timeEnforce safety compliance and uphold a secure, organized jobsite, Serve as the primary on-site representative, building strong client relationships and delivering a best-in-class customer experience. Our client is a highly respected residential construction firm known for delivering architecturally significant custom homes, major renovations, and historic restorations.
NewRetail Sales Manager Carter'sRetail Sales ManagerKittery, ME$17.75–$21.75What we love about Carter's: Carter's Inc. is the largest North American apparel retailer exclusively for babies and young children, encompassing Carter's, OshKosh B'gosh, Skip*Hop, and Little Planet brands. You'll congratulate new parents and grandparents, introduce them to our new baby essentials, help prep them for the first day of school, and all the big and little moments on their parenting journey.
NewSales Manager (Full Time) Carter'sSales Manager (Full Time)Kittery, ME$17.75–$21.75What we love about Carter's: Carter's Inc. is the largest North American apparel retailer exclusively for babies and young children, encompassing Carter's, OshKosh B'gosh, Skip*Hop, and Little Planet brands. You'll congratulate new parents and grandparents, introduce them to our new baby essentials, help prep them for the first day of school, and all the big and little moments on their parenting journey.
Manufacturing Manager - Industrial - Dover, NH Michael Page USAManufacturing Manager - Industrial - Dover, NHDover, NH$130,000–$140,000 / yearFull timeThis individual will be responsible for driving safety, quality, productivity, and on-time delivery while leading continuous improvement initiatives and developing a strong manufacturing team. Our client is seeking a Manufacturing Manager to oversee day-to-day production operations within a fast-paced manufacturing environment.
Program Manager - Defense - Hampton, NH Michael Page USAProgram Manager - Defense - Hampton, NHHampton, NH$140,000–$170,000 / yearFull timeThis role requires a highly collaborative and commercially minded leader capable of influencing stakeholders, facilitating risk-based decision making, and translating complex customer requirements into actionable program strategies. Facilitate cross-functional collaboration across Engineering, Operations, Manufacturing, Quality, Supply Chain, Finance, and Business Development to ensure proposal commitments reflect organisational capabilities.
Sr. Project Manager - Top GC in New England - Large Projects Michael Page USASr. Project Manager - Top GC in New England - Large ProjectsWoburn, MA$175,000–$200,000 / yearFull timeDirect Preconstruction & Project Setup: Lead constructability reviews, staffing and logistics planning, risk mitigation, subcontractor strategy, mobilization, and establish project controls and management systems. Lead Client & Design Team Relationships: Serve as primary Owner/Architect/Engineer contact; communicate project status, risks, and opportunities; drive collaborative problem-solving and value creation.
Senior Program Manager - Aerospace/Defense - Stratham, NH Michael Page USASenior Program Manager - Aerospace/Defense - Stratham, NHStratham, NH$140,000–$160,000 / yearFull timeOur client is a leading provider of high-reliability technology solutions serving customers in highly regulated and mission-critical industries. This individual will partner with engineering, operations, manufacturing, finance, supply chain, and business development teams to ensure customer requirements are translated into executable program plans.
NewFinancial Reporting Analyst Vaco LLCFinancial Reporting AnalystBoston, MA$35–$40 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Outreach Manager Northeast Health ServicesOutreach ManagerBoston, MA$80,000–$85,000 / yearFull timeAs a key representative of Transformation Mental Health, the Outreach Manager will build and maintain relationships with referral partners, healthcare providers, schools, and community organizations while helping connect individuals and families with access to quality behavioral healthcare services. The Outreach Manager ( Business Development) plays a critical role in driving growth, expanding referral partnerships, and strengthening community presence across an assigned territory.
Manager, Product Management Capital One Financial CorpManager, Product ManagementCambridge, MA$164,800–$188,100 / yearBasic Qualifications: Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor's or Master's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field), Business or Marketing. Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.
Store Manager O'Reilly Automotive IncStore ManagerHaverhill, MA$68,000–$83,111 / yearRequired: Sales Specialist Training, Assistant Manager Certification, Manager Development Program module Strong verbal and written communication skills Must be well organized with the ability to prioritize effectively and manage time efficiently Knowledge of automotive parts, equipment, and systems. Responsible for supervising work performed by all store team members and working jointly with the District Manager in recruiting, testing, hiring, evaluating, promoting, disciplining, and discharging team members under their supervision.
Case Manager RN - Work From Home - EST CVS Health CorpCase Manager RN - Work From Home - ESTMARemote$66,575–$142,576 / yearThe RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate overall wellness. RN Case Manager: Collaboratively develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
Clinical Team Manager Enable DentalClinical Team ManagerBoston, MA$75,000–$85,000 / yearEnable Dental is redefining dental care by bringing high-quality, comprehensive services directly to those who need it most—patients in assisted living facilities, skilled nursing homes, and individuals unable to visit a traditional office. As a Clinical Team Manager, you’ll be the backbone of a high-performing mobile dental team—consisting of a Dentist or Hygienist and a Dental Assistant—delivering care directly to patients in their homes or care facilities.