Associate Director of Construction (672) RIPPLE FIBERAssociate Director of Construction (672)Saginaw, MIThe Associate Director will play a key role in managing and overseeing the construction of critical infrastructure projects that support our network expansion and improvement initiatives. Collaborate with internal teams (engineering, legal, procurement, pmo, permitting, etc.) and external stakeholders (contractors, vendors, regulatory bodies) to ensure smooth project execution and compliance with all regulations.
Director, Tax Strategy and Planning Masco CorpDirector, Tax Strategy and PlanningLivonia, MI$166,000–$260,700 / yearE-Verify is an Internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States. With a primary focus on strategy development/implementation, project management, talent development, and personal contributions, this role demands visible integrity and a proven ability to lead teams effectively.
NewOB Director (RN) Bryant Staffing SolutionsOB Director (RN)Hancock, MIShort commutes, limited congestion, historic Copper Country character, and access to four-season recreation make the area appealing to candidates seeking a close-knit community and outdoor-focused lifestyle. Reporting to the Chief Nursing Officer, the OB Director will provide clinical and operational leadership for a team focused on safe, high-quality, family-centered maternal and newborn care.
Director-New Ventures & Service Business Incubation Alps AlpineDirector-New Ventures & Service Business IncubationAuburn Hills, MichiganDevelop and apply a disciplined evaluation framework covering customer need, willingness to pay, market potential, strategic fit, competitive advantage, technical feasibility, operational feasibility, regulatory risk, required investment, and potential profitability. Create original business concepts and actively source ideas from employees, customers, technology partners, startups, industry experts, and external ecosystems.
DIRECTOR, DINING SERVICES II - Thornapple Kellogg School District, Middleville, MI Compass Group North AmericaDIRECTOR, DINING SERVICES II - Thornapple Kellogg School District, Middleville, MIMiddleville, MI$62,000–$72,000 / yearWith more than 16,000 associates in 4,500 schools, ranging from large public institutions to small charter and private schools, Chartwells K12 is built on decades of food, education and operational experience driven by top culinary, nutrition, wellness, and sustainability talent. Thornapple Kellogg School District located in Middleville, MI is seeking an energetic and innovative Director of Dining Services to lead a successful nutrition program serving more than 3,100 students across six schools.
NewOB Director (RN) Fox Point RecruitmentOB Director (RN)Hancock, MichiganSugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support (Post-Resuscitation / Pre-Transport Stabilization Program). Clinical Oversight: Direct and coordinate obstetrical nursing care using the nursing process; resolve operational and clinical delivery issues.
Director of Pharmacy (DOP) Select Medical CorpDirector of Pharmacy (DOP)Flint, MISelect Specialty Hospital-Flint is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. Each employee plays a vital role in doing that by living our cultural behaviors - celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.
Assistant Director Admissions and Recruiting University of MichiganAssistant Director Admissions and RecruitingAnn Arbor, MI$59,000–$72,700 / yearThis position is included in the bargaining unit represented by the University Staff United (USU), which represents bargaining unit members in all matters with respect to wages, benefits, hours and other terms and conditions of employment. In this role, you will monitor market trends, design marketing initiatives to enhance program visibility, manage event logistics, and counsel prospective students throughout the admissions process.
Director, Finance - Pharmacy Henry Ford HospitalDirector, Finance - Pharmacybingham farms, MIReporting to the CFO, CCS, the Finance Director, System Pharmacy provides senior financial leadership for centralized pharmacy services across Henry Ford Health, including inpatient, outpatient, retail, specialty, infusion, and 340B programs. PRINCIPLE DUTIES AND RESPONSIBILITIES: Serves as the senior financial leader and strategic advisor to Pharmacy Service Lines, Ambulatory operations, and System Clinical Departments, contributing to the achievement of short- and long-term financial and business objectives.
EVS Assistant Director Compass Group North AmericaEVS Assistant DirectorMI$55,000–$70,000 / yearJob Summary: Working as the Assistant Director of Environmental Services, you are responsible for assisting in the overall management of the Environmental Services Department. Ensures that competency in the position is maintained by participating in Community Works and outside training programs, as required.
Executive Director - Signal-Return ContinuserveExecutive Director - Signal-ReturnDetroit, MIFull timeSignal-Return's innovative and wide-ranging programming—its hands-on art workshops, Open Studio program, visiting artists, educational partnerships with universities, elementary and high schools, and collaborations with other arts and culture organizations—supports an ever-growing and vital Detroit arts community. Our client, Signal-Return , a Detroit nonprofit, seeks an experienced leader for its Executive Director role to advance its mission, strengthen long-term sustainability, and making a lasting impact on Detroit's arts community.
Director of the Center for Public Safety Education & Associate Professor Cleary UniversityDirector of the Center for Public Safety Education & Associate ProfessorHowell, MIThis role will collaborate closely with academic leadership including the Chief Academic Officer, Deans, other members of the faculty team, student support services, members of adjunct faculty, and instructional design to support instructional quality, student engagement, and continuous improvement across programs within the assigned domain(s). Strong candidates are approachable, relationship-oriented educators who are willing to inest in students as individuals and help create an environment where students feel challenged, supported, and connected - no matter the course modality.
Associate Director, Experience Design Publicis Groupe SAAssociate Director, Experience DesignBirmingham, MI$106,780–$146,100 / yearNot so) basic prototyping capabilities Exceptional ability to create, maintain, evolve and use a design system Strong experience in discovery-based activities, user research, and agile processes Demonstrated ability to think holistically about an experience to ensure user and business needs are met Competency to create site maps, wireframes, user flows, journey maps and other experience models Complete comfort sketching and riffing with a team to arrive at exceptional design solutions Experience partnering with other capabilities to strategize, design and build the work, including annotating complex interactions High level of proficiency in Figma and Adobe CC Experience with generative AI tools (e.g., Figma AI, ChatGPT, Claude, Google Gemini, Midjourney, Runway) is a plus, especially for tasks like ideation, research, or content generation Amazingly awesome written and presentation skills that showcase passion, informed opinions and design rationale Strong experience leading project teams of designers and content strategists to produce on time and quality deliverables - you must be able to get briefed on a new project, collaborate with a team to tackle the challenge, and manage, organize and defend the work of your team members, while also contributing to the day to day outputs At least a couple years of experience managing and mentoring direct reports and junior talent in their career growth Qualifications Great candidates often have: A four-year degree A formal design education, and 7-9+ years of experience being sort of amazing Additional study in HCI, Human Factors or Graphic Design Enough research experience to be dangerous A robust portfolio of work across devices and platforms Basic understanding of front-end development technologies A familiarity with common social platforms Creative agency experience desired Prior experience with CRM as a channel Got the sparkle? Digitas delivers ambitious outcomes via unique solutions that include Creative Experiences, Integrated Media, Addressable Relationships, Social Marketing and Total Commerce.
Senior Director, Industrial Solutions Magna International, IncSenior Director, Industrial SolutionsTroy, MichiganThe Senior Director Industrial Solutions at Magna IT is responsible for leading the implementation, maintenance, and optimization of Enterprise Resource Planning (ERP), Electronic Data Interchange (EDI), Manufacturing Execution Systems (MES), and Logistics Execution Systems (LES) across all Magna plants worldwide. Strategy and Planning: - Collaborate with senior leadership and key stakeholders to develop a strategic roadmap for industrial solutions, aligning with Magna's business objectives.
Executive Director, Investment Business Analysis Reinsurance Group of America IncExecutive Director, Investment Business AnalysisMI$126,710–$188,840 / yearThe Executive Director partners closely with Investment leaders, Technology, Data, and Architecture teams to ensure solutions are fit for purpose and ready for adoption. The Executive Director, Investment Business Analysis is a senior delivery and functional leader responsible for overseeing business analysis execution across major investment initiatives.
Gucci | Store Director - Detroit Kering GroupGucci | Store Director - DetroitDetroit, MIDemonstrate sales leadership by playing an active role on the sales floor through coordinating FoH and BoH activities, engaging with top clients, and ensuring the highest level of client service and hospitality. Under the leadership of President and CEO Francesca Bellettini and the artistic direction of Demna, the House continues to redefine luxury and fashion while celebrating creativity, Italian craftsmanship, and innovation.
Director Of Field Operations - Civil Fessler & BowmanDirector Of Field Operations - CivilHolly, MIThe Director of Field Operations ensures that production execution consistently supports a culture grounded in safety, margin protection, schedule reliability, innovation, and owned-equipment optimization. The Director of Field Operations will play a key role in the Regional Growth Plan ensuring long-term investments are made from an operational perspective as it relates to succession, scope expertise, and geographical coverage.
NewConstruction Senior Safety Manager Clark Construction CompanyConstruction Senior Safety ManagerAuburn Hills, MIFull timeRequirements:Proven experience as a Senior Safety Leader or Safety Director within the construction industry (self-perform experience strongly preferred).Demonstrated success managing safety programs for multiple project sites or market sectors. Senior Safety Manager – Self Perform DivisionClark Construction is seeking a Senior Safety Manager to lead and elevate our safety program for the Self Perform Division.
Manufacturing and Quality Engineering Manager Marmon HoldingsManufacturing and Quality Engineering ManagerBoyne City, MichiganPrecision Edge Surgical Products Company LLC As a part of the global industrial organization Marmon Holdings—which is backed by Berkshire Hathaway—you’ll be doing things that matter, leading at every level, and winning a better way. Responsible for developing, implementing and maintaining a shop floor inspection system that provides operators with the necessary tools to successfully perform their inspection activities and meet customer expectations.
Clinic Director Plymouth Physical Therapy SpecialistsClinic DirectorJackson, MI$85,000–$95,000 / yearFull timePlymouth Physical Therapy Specialists (PPTS), Southeastern Michigan’s premier private practice in sports medicine and orthopedic rehabilitation, is seeking an experienced and visionary Clinic Director to join and lead our exceptional team. As a Clinic Director, you will play a pivotal role in shaping clinical operations, mentoring staff, and driving excellence in patient care.
Director, Total Rewards Colibri GroupDirector, Total RewardsSaint LouisAs the key driver of Colibri's employee rewards programs, you will have the opportunity to unleash your creativity and strategic thinking to design and implement compensation and benefits plans that drive business growth, attract top talent, optimize our workforce, and drive productivity to new heights. Providing leadership, guidance and direction while ensuring the deployment of the company's compensation programs including annual salary planning/merit increases process, salary structures, variable pay, commissions and other incentive programs to ensure alignment with company's goals, initiatives and budget.
NewOB Director Fox Point Recruitment LLCOB DirectorHancock, MISugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support (Post-Resuscitation / Pre-Transport Stabilization Program). Clinical Oversight: Direct and coordinate obstetrical nursing care using the nursing process; resolve operational and clinical delivery issues.
Youth & Family Ministries Director The Salvation Army USAYouth & Family Ministries DirectorTraverse City, MIThis role plans and implements ministry activities, develops strategic pathways from community outreach into corps life, and provides pastoral care through strong relationship-building with youth and parents. Active participation in worship, leadership meetings, and divisional initiatives is essential, along with oversight of facilities and seasonal programs, including summer day camp and Angel Tree.
Associate Director, Community Partnerships American Cancer SocietyAssociate Director, Community PartnershipsDetroit, MichiganThis specialized role engages with primary care systems, federally qualified health centers (FQHCs), community health centers, community-based organizations (CBOs), and volunteers to drive pillar metrics through collaborative relationships while influencing policies and strategies. Strong ability to represent the American Cancer Society effectively and professionally to health systems, cancer programs, administrative, agency, and community leaders, including working with disparate populations and diverse constituents. .
Director, Marketing, HCP Omnichannel Engagement and Execution Esperion Therapeutics IncDirector, Marketing, HCP Omnichannel Engagement and ExecutionAnn Arbor, MIRemoteThe Director, Marketing, HCP Omnichannel Execution is responsible for driving digital engagement and promotional execution for healthcare professionals (HCPs) for a launch-stage heart failure pharmaceutical brand, ENBUMYST. This role leads digital campaign strategy, omnichannel execution, media planning, content development, congress activities, speaker programs, and marketing analytics to support brand growth and customer engagement.
Activities Director Orchard Grove Health CampusActivities DirectorRomeo, MichiganFull timePromote events and share news by developing and distributing newsletters, creating engaging social media posts, and promoting upcoming events across multiple platforms to keep residents and families informed. Manage and support staff by creating staff schedules and ensuring Life Enrichment Associates (LEAs) complete their tasks to meet residents' needs and enhance their daily lives.
Director of Business Development, U.S. ARMY Motorola Solutions IncDirector of Business Development, U.S. ARMYMIRemote$180,000–$200,000 / yearRelationship Building: Identify, cultivate, and maintain deep relationships with all buying influences on assigned programs, including Program Offices (PEOs/PMs), prime contractors, OEM partners, and key end-user communities. The Director develops deep, broad relationships with all buying stakeholders (end-user, OEM, prime, reseller, PM offices) to guide capability requirements toward Silvus solutions and capture large, long-cycle programs.
Senior Director of Stewardship, AG and Advancement Services Bronson Battle Creek HospitalSenior Director of Stewardship, AG and Advancement ServicesKalamazoo, MIBy creating exceptional donor experiences, implementing data-driven fundraising strategies, and ensuring operational excellence, this leader helps strengthen donor confidence and long-term philanthropic investment in Bronson's mission. Philanthropy plays an increasingly important role in advancing healthcare innovation, expanding access to care, supporting patients and families, investing in caregivers, and strengthening the communities Bronson serves.
Director of Business Development, Electronic Warfare Motorola Solutions IncDirector of Business Development, Electronic WarfareMIRemote$180,000–$200,000 / yearThis individual will define and execute Silvus' go-to-market strategies, cultivate relationships with key government and industry partners, and position the company as a leader in advanced networking and spectrum solutions supporting DoD modernization priorities. From pure line-of-sight to extreme non-line-of-sight, Silvus radios form a self-healing, self-forming mesh network, enabling secure and reliable connectivity, including video and high-bandwidth data.
Manufacturing and Quality Engineering Manager Marmon Holdings IncManufacturing and Quality Engineering ManagerBoyne City, MIResponsible for developing, implementing and maintaining a shop floor inspection system that provides operators with the necessary tools to successfully perform their inspection activities and meet customer expectations. As a part of the global industrial organization Marmon Holdings-which is backed by Berkshire Hathaway-you'll be doing things that matter, leading at every level, and winning a better way.
Residency Program Coordinator Detroit Medical Center Shared ServicesResidency Program CoordinatorDetroit, MIAlong with Program Director, help prepare program, faculty, and residents/fellows for site visit; arrange meeting rooms; ensure required documents are available to site visitor as requested; and serve as key participant in the site visit. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.
Emergency Veterinarian New Grad Mentorship Program - Kalamazoo, MI Emergency Veterinary Care CenterEmergency Veterinarian New Grad Mentorship Program - Kalamazoo, MIGrand Rapids, MI$125,000–$150,000 / yearOur Kalamazoo location needs skilled, friendly and energetic newly graduated Emergency Veterinarians who strive for and achieve excellence in emergency veterinary medicine in the area. EVCC is proud to offer a structured mentorship program designed for newly graduated veterinarians transitioning into emergency veterinary medicine.
Manager, IT Security Sun Communities IncManager, IT SecuritySouthfield, MIThis position is responsible for leading a team of IT Security Analysts and driving the implementation, optimization, and ongoing governance of the organizations Amazon Web Services (AWS) cloud environment, Microsoft Purview data governance platform, and Data Loss Prevention (DLP) program. Deep hands-on expertise with AWS security services such as identity and access management (IAM), GuardDuty, Security Hub, CloudTrail, Config, key management services (KMS) and web application firewall (WAF) organizations (Required).
Director of Finance Frontline Source Group Holdings, LLC dba dfwHRDirector of FinanceMichigan, MIWere seeking a Director of Finance to own day to day accounting operations, drive financial strategy, and partner closely with executive and operations leadership across a multi unit retail environment. You will lead financial planning and analysis, budgeting, forecasting, payroll oversight, and cash management while championing process improvements that enhance accuracy, efficiency, and profitability.
Child Care Center Director Huntey's Clubhouse & gro Childcare AcademyChild Care Center DirectorHolland, MI$50,000Responsibilities : -The Director promotes the social, physical, and intellectual growth of the children under his/her care and works with the staff to create a safe, learning environment while keeping parents informed of the progress of their child. - Develops and maintains relationships with state childcare licensing agencies, parent groups, and other organizations and related to the program.
Building Services Director Cedarbrook Senior LivingBuilding Services DirectorPlymouth, MIResponsible for interviewing, hiring, and training housekeeping team members; planning, scheduling, assigning, and directing work; appraising performance, rewarding and disciplining team members. Oversees and manages maintenance contracts, electrical systems, phone systems, fire panels, emergency response systems and disaster preparedness.
Assistant Building Services Director Cedarbrook Senior LivingAssistant Building Services DirectorBloomfield Hills, MIAssists with supervising the maintenance and environmental services team by interviewing, hiring, and training team members; planning, scheduling, assigning, and directing work; appraising performance, rewarding and disciplining. At Cedarbrook Senior Living, we work hard every day to find out what "Celebrating Life Every Day!" means to our residents and their families, then we help them achieve these goals.
Associate Athletic Director for External Relations and Revenue Generation Lake Superior State UniversityAssociate Athletic Director for External Relations and Revenue GenerationMichiganThis position is responsible for driving and managing key revenue streams, including oversight of ticket sales operations and corporate partnership development, while ensuring alignment with the department’s broader strategic and financial goals. The Associate AD works collaboratively to enhance the fan experience, strengthen community and corporate relationships, and support the long-term sustainability and growth of LSSU Athletics.
Director, Engineering American Water Resources AssociationDirector, EngineeringBeverly Hills, MI$148,900–$198,205 / yearDevelops and manages the annual departmental budget and Road Improvement Program funding by scheduling and approving departmental expenditures, analyzing variances, initiating corrective actions, preparing financial plans, attending meetings, developing departmental goals and anticipating long-term issues/needs in the three-year financial plan. We're also leading the way in developing "smart" traffic signals -- our FAST-TRAC system -- that employ state-of-the-art computer and communications technologies to improve traffic flow, decrease travel time, enhance safety and reduce the vehicle tailpipe emissions that are characteristic of stop-and-go driving.
Senior Living Sales Director RUG- GRACE MANAGEMENT INCSenior Living Sales DirectorSterling Heights, MI$75,000–$85,000 / yearPart timeEstablish a flexible work schedule that supports the demands of the community outside of typical business hours as needed to provide visits, respond to telephone inquiries, give presentations, set appointments with qualified prospects in order to close sales. Conduct business development appointments, events, and presentations with key figures and their associates (i.e., physicians, medical professionals, rehabilitation hospitals, non-medical professionals, etc.) in order to build relationships and generate referrals.
Senior Living Sales Director Grace ManagementSenior Living Sales DirectorSterling Heights, MichiganEstablish a flexible work schedule that supports the demands of the community outside of typical business hours as needed to provide visits, respond to telephone inquiries, give presentations, set appointments with qualified prospects in order to close sales. Conduct business development appointments, events, and presentations with key figures and their associates (i.e., physicians, medical professionals, rehabilitation hospitals, non-medical professionals, etc.) in order to build relationships and generate referrals.
Medical Director, Endocrinology ParexelMedical Director, EndocrinologyLansing, MIRemoteAs a Medical Director, you will provide medical monitoring for assigned projects, function as medical representative on the project team, provide medical consultation as required or requested to client/sponsor or to other Parexel service groups, and assume the role of Senior Technical Lead in selected circumstances. + Review data listings of safety data, including adverse experiences, laboratory data, and vital signs data, to establish the presence or absence of abnormal trends, and if noted, follow up as appropriate with the project team, sponsor, investigator, and FDA.
Medical Director Pm&R Or Internal Medicine - Remote UnitedHealth Group Inc.Medical Director Pm&R Or Internal Medicine - RemoteAnn Arbor, MIRemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Palliative Care Manager - LMSW Net2Source HealthcarePalliative Care Manager - LMSWGrand Rapids, MI$75,000–$85,000 / hourStrong interpersonal, communication, and leadership skills with a demonstrated ability to collaborate effectively across disciplines, and guide teams through periods of growth and change. If you’re a social worker who feels that pull that sense that you’re ready for more, ready to shape something meaningful, and ready to lead while staying grounded in the work you love this role is your moment.
Manufacturing IT Launch Program Manager General Motors CoManufacturing IT Launch Program ManagerWarren, MIThis role requires strong expertise in plant floor systems, network integration, manufacturing operations, material and quality systems, and tooling and manufacturing processes across Vehicle, Global Propulsion Systems (battery, engine, transmission), and/or Stamping. Lead schedule progression meetings with Deployment Leads, the Controls Integration Lead, Infrastructure Group Manager, System Integration Lead, IT Site team, and launch team to drive task completion, timing alignment, and dependency resolution.
Finance Manager, Sponsored Program Administration Wayne State UniversityFinance Manager, Sponsored Program AdministrationDetroit, MIProvide subject matter expertise and consultative guidance to Sponsored Program Administration (SPA) staff and the University community on internal and external grant financial policies, compliance requirements, and complex issues related to the administration of sponsored programs. The Sponsored Program Administration (SPA) Finance Manager provides leadership and oversight for sponsored program financial staff responsible for preparing and reviewing financial reports in accordance with sponsor requirements and reporting guidelines.
Institute/Center Director-Management MSU Careers DetailsInstitute/Center Director-ManagementMichiganOverseeing the research, outreach, and education programs at KBS with the Associate Director and coordinating these programs with campus departments (including Earth & Environmental Sciences ; Entomology ; Fisheries and Wildlife ; Forestry ; Integrative Biology ; Plant Biology ; and Plant, Soil, and Microbial Sciences ), as well as the Ecology, Evolution, and Behavior program, MSU AgBioResearch , and MSU Extension . Candidates should have demonstrated potential to lead and manage a dynamic program of interdisciplinary research, education, and outreach, a record of research excellence in any area of ecology, evolution, agriculture, or conservation biology, and strong interpersonal and people management skills.
Assistant Manager MVP Sports ClubsAssistant ManagerGrand Rapids, MIPhysical Requirements: Bend, stoop, crouch, climb, stand, sit and turn/pivot; Lift/lower, push, pull and carry up to 40 lbs; perform office tasks using simple hand grasping, fine hand manipulation and reach associated with assigned tasks such as paperwork, typing, and/or word processing, filing, calculating and use of the telephone; See, hear, and speak with sufficient capability to perform assigned tasks and maintain proper job safety conditions. At MVP Sports Clubs facilities with an Aquatics department, trained on MVP's Basic Water Rescue Training to relieve lifeguards for short breaks, and in the event of a major water emergency, be the back-up responder to assist the lifeguards on duty.
Sr. Managing Director, Head of Institutional Products Jackson National Life Insurance CoSr. Managing Director, Head of Institutional ProductsLansing, MI$275,000–$325,000 / yearThe Institutional Products department markets Guaranteed Investment Contracts (GICs), Funding Agreements, and Medium Term Notes (MTNs) to institutional investors, allowing the Company to opportunistically deploy capital when returns are attractive and to increase business diversification by leveraging its core competencies of asset generation and risk management. Managing Director, Head of Institutional Products is responsible for a broad range of functions in managing the institutional business, including oversight of the Institutional Products team and primary oversight of client, peer, and investment bank relationships.
NewDirector of Pharmacy (DOP) Select Specialty Hospital - Downriver (Wyandotte)Director of Pharmacy (DOP)Wyandotte, MichiganSSH-Downriver is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. Each employee plays a vital role in doing that by living our cultural behaviors - celebrating success, owning the future, being patient-centered, creating change, thinking first and building trust.