
New Horizons is the largest mental health and addiction recovery provider on the Treasure Coast (and beyond), serving 15,000 children and adults annually through inpatient crisis services, 24-hour help line and mobile response team, and outpatient programs conveniently located across Indian River, Martin, Okeechobee and St. Lucie counties. In addition, New Horizons assists 22,000 students in area schools, and we work closely with the courts, law enforcement, jails, and hospitals to help improve the health of individuals and the quality of life in our community.
New Horizons is seeking a Chief Operating Officer who will serves as the executive leader responsible for the daily operational management, strategic execution, and organizational performance of New Horizons of the Treasure Coast & Okeechobee (NHTC). Working in close partnership with the Chief Executive Officer (CEO), Chief Medical Officer (CMO), Executive Leadership Team, and Board of Directors, the COO provides oversight of organizational operations while ensuring operational excellence, fiscal stewardship, regulatory compliance, quality improvement, and strategic growth.
The COO serves as the bridge between executive leadership and operational departments by translating organizational strategy into measurable results, fostering collaboration, removing operational barriers, and promoting a culture of accountability, innovation, continuous improvement, and exceptional service delivery. The COO champions organizational initiatives that improve employee engagement, patient access, financial sustainability, technology advancement, regulatory readiness, and community partnerships while ensuring New Horizons remains positioned to meet the evolving behavioral healthcare needs of the communities it serves.
As a Chief Operating Officer, your responsibilities include:
1. Provide executive oversight for organizational operations including:
-Information Technology (IT)
-Finance
-Quality Assurance (QA)
-Revenue Cycle Management (RCM)
-Utilization Review (UR)
-Facilities and Infrastructure
-Operational Support Services
-Strategic Initiatives
2. Serve as the primary communication bridge between Directors and the CEO, promoting organizational alignment, transparency, and timely decision-making.
3. Identify operational efficiencies and recommend organizational restructuring when appropriate.
4. Provide coaching, mentorship, and leadership development to Directors and executive leaders.
5. Conduct regular skip-level meetings with employees to obtain feedback regarding leadership effectiveness, communication, employee engagement, and organizational culture.
6. Partner with Human Resources to
-Recruit, interview, and select executive leadership positions
-Develop leadership competencies.
- Support employee engagement, retention, and organizational culture initiatives
7. Financial Stewardship
- Review monthly financial statements and operational performance
- Review payroll expenditures, overtime utilization, staffing trends, and labor costs.
- Collaborate with Finance, Revenue Cycle, and external consultants to improve financial performance
- Assist with annual budgeting, forecasting, and long-range financial planning.
8. Contracts, Legal Affairs & Risk Management
- Review and negotiate organizational contracts
- Partner with legal counsel regarding contractual and operational matters.
- Evaluate vendor relationships to maximize organizational value.
-Support enterprise risk management initiatives.
9. Communications & Organizational Brand
- Ensure communications align with organizational mission, strategic priorities, and brand standards.
-Partner with Human Resources and Marketing to promote employee engagement, recruitment, and community awareness initiative
10.Regulatory Compliance & Accreditation
-Serve as executive lead during announced and unannounced surveys.
-Coordinate corrective action plans following audits and regulatory reviews.
-Monitor compliance with organizational policies, contractual obligations, and accreditation standards.
Requirements
Education
Experience
Knowledge, Skills & Abilities

New Horizons of the Treasure Coast and Okeechobee is the most comprehensive mental health and substance use recovery agency in the region, with nine facilities across four counties serving 15,000 children and adults annually, regardless of their ability to pay.
New Horizons of the Treasure Coast was created in 1958 by community members who passionately believed that quality mental health services should be available to all in need on the Treasure Coast.
From its first location in Ft. Pierce, New Horizons has expanded to serve residents in Indian River, Martin, Okeechobee and St. Lucie Counties, with its main campus on Midway Road in Fort Pierce.
More than 60 years after its founding, New Horizons continues to work hard to fulfill the vision of its founders. It offers inpatient and outpatient mental health care for adults and children, crisis units for adults and children, learning resource centers for independent living skills, a transitional group home, a primary care clinic, substance abuse and detox services, case management, family support and counseling, and programs in schools and with law enforcement agencies.
New Horizons provides a safety net for those in crisis, outreach programs to promote resilience and recovery, and community education to help our community achieve health in both mind and body.