NewDirector of Workforce Development Global Kids IncDirector of Workforce DevelopmentNew York, NY$80,000–$85,000 / yearFull timeAdditionally, in collaboration with the Senior Director of Academic Programs and Quality Assurance, the Director of Workforce Development will plan workforce development strategies and goals to improve and ensure the successful integration of workforce programs across all school-based sites. The Director of Workforce Development will work in collaboration with the Senior Director of Academic Programs and Quality Assurance and the Director of Student Success to plan and integrate workforce development strategies and goals into our community schools and college & career readiness work.
NewDirector of Nursing DON — Skilled Nursing / Short-Term Rehab | $200K–$230K JobotDirector of Nursing DON — Skilled Nursing / Short-Term Rehab | $200K–$230KQueens, NY$200,000–$230,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Three ADONs already in place means the DON can lead strategy, survey readiness, culture, and outcomes instead of personally carrying every wound, risk, education, and review issue.
NewDirector of Mechanical Engineering PE JobotDirector of Mechanical Engineering PENew York, NY$200,000–$225,000 / yearLead feasibility studies, conceptual development, and detailed engineering for: Central utility plants, Steam generation & distribution systems, Chilled & condenser water systems, Heating hot water & hydronic systems, Thermal energy storage solutions, Combined Heat & Power (CHP), and microgrid applications. This position is best suited for a senior engineering professional with extensive experience in mechanical and energy systems, as well as a strong track record managing multidisciplinary teams and delivering high-impact projects within the New York market and beyond.
Director of Enterprise Identity Architecture JobotDirector of Enterprise Identity ArchitectureNew York, NY$220,000–$270,000 / yearThe right individual will have the ability to communicate effectively with C-suite leadership while also remaining highly hands-on within the environment, guiding technical direction, mentoring engineers, and driving execution across critical identity initiatives. The role offers the chance to modernize a sophisticated identity environment, advance platforms such as SailPoint ISC, Okta, cloud identity, and privileged access management, and help establish the organization’s approach to emerging areas such as non-human identities and agentic AI.
Tax Director JobotTax DirectorWoodbury, NY$180,000–$220,000 / yearWe are a rapidly growing public accounting and advisory firm with a strong reputation for delivering exceptional tax, accounting, and consulting services to privately held businesses, high-net-worth individuals, real estate investors, and entrepreneurial clients. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
Director, Freight Forwarding Sales JobotDirector, Freight Forwarding SalesNew York, NY$150,000–$200,000 / yearThe Director, Freight Forwarding Sales is a hands-on player/coach responsible for leading a regional sales team, driving new business development, growing strategic accounts, and expanding market share across the U.S. This role partners closely with leadership to execute growth strategies, increase revenue, and develop a high-performing sales organization. Company Overview: Our client is a global leader in end-to-end supply chain and logistics solutions, connecting businesses worldwide through integrated transportation, freight forwarding, terminal operations, and technology-driven services.
Director, Technology Risk and Business Continuity United Nations Federal Credit UnionDirector, Technology Risk and Business ContinuityNew York, NY$150,000 / yearFull timeBachelor's degree in Risk Management, Information Systems, or related field• 10+ years of experience in a financial services environment with exposure to regulated environments, including a minimum of 4 or more years in a second line or commensurate risk function• Experience in technology, cyber, and operational resilience risk management, including regulatory compliance, risk identification, monitoring, issue management, risk reporting, and cross-functional collaboration with business partners. Partner with technology and business leaders within the three lines of defense framework to provide independent oversight and advisory support, ensuring technology risks are effectively managed and aligned with the organization's risk appetite, regulatory expectations, and strategic objectives.
Director of Marketing JobotDirector of MarketingHoboken, NJ$180,000–$250,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Here's the highlight reel: Develop and execute omnichannel brand strategy — identifying where to play and how to win across retail, digital, and HCP channels.
NewAssistant Director of Nursing (ADON) Bushwick CenterAssistant Director of Nursing (ADON)Brooklyn, NY$120,000–$130,000Bushwick Center for Rehabilitation and Healthcare is a 225-bed rehabilitation and skilled nursing facility located on the border of Brooklyn & Queens. Our staff is committed to ensuring the highest quality of life of all our residents, by maintaining each resident’s dignity and independence.
NewDirector of Nursing (DON) Glens Falls CenterDirector of Nursing (DON)Brooklyn, NY$120,000–$140,000We also offer Daily Pay through a trusted third-party provider, giving you faster access to your earnings, as well as premium health coverage through Aetna with low out-of-pocket costs. About Us: Glens Falls Center is a 120-bed rehabilitation and skilled nursing facility located in Glens Falls, NY.
NewClinical Director (LCSW or LMSW) - Behavioral Health Mitchell MartinClinical Director (LCSW or LMSW) - Behavioral HealthStaten Island, NY$100,000–$120,000 / yearA well-established behavioral health organization serving individuals through residential and outpatient programs is seeking a Clinical Director (LCSW or LMSW) to join its leadership team. • The Clinical Director will drive accountability, ensure regulatory excellence, and elevate the quality and consistency of care across the organization.
Assistant Director of Nursing (ADON) Skilled Nursing of BronxAssistant Director of Nursing (ADON)The Bronx, NY$130,000Skilled Nursing of Bronx is hiring a Assistant Director of Nursing (ADON) in Bronx, NY. DUTIES: Assist the DNS with management responsibilities and in maintaining the quality of care.
Assistant Director of Nursing (ADON Beth Abraham CenterAssistant Director of Nursing (ADONThe Bronx, NY$130,000–$140,000A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
NewAssistant Director of Nursing (ADON) Skilled Nursing of BrooklynAssistant Director of Nursing (ADON)Brooklyn, NY$55A Skilled Nursing Facility in Brooklyn, NY is looking to hire an Assistant Director of Nursing (ADON) . Assist the Director of Nursing Services (DNS) with management responsibilities and maintaining quality of care.
NewAssociate Director of Nursing Skilled Nursing of BrooklynAssociate Director of NursingBrooklyn, NY$150,000–$170,000A Healthcare Facility in Brooklyn, NY is hiring an Assistant Director of Nursing (ADON). DUTIES: Assist the DNS with management responsibilities and in maintaining the quality of care.
Director of Finance JobotDirector of FinancePearl River, NY$180,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. As an auto group with 10+ dealerships across the New York market and over 1000 employees, we have been providing top service and top brands to our customer base for the last 20 years.
Tax Technical Expert - Manager, Director, Partner JobotTax Technical Expert - Manager, Director, PartnerWoodbury, NY$190,000–$400,000 / yearLead sophisticated tax planning and advisory work across a diverse client base that includes multinational entities, financial services firms, private investment funds, and ultra-high-net-worth individuals. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
Director of Respiratory Therapy Mitchell MartinDirector of Respiratory TherapyYonkers, NY$165,000–$170,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This position involves overseeing the Respiratory Therapy department in a healthcare setting, located in Yonkers, NY.
NewAssociate Medical Director Mitchell MartinAssociate Medical DirectorNew York, NY$225,000–$240,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Associate Medical Director - New York, NY (Onsite) - Full Time - Mon-Fri 09:00am-05:00pm - $225,000-$240,000 Per Year.
NewClinical Director JAG Physical TherapyClinical DirectorKenilworth, NJJAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform.
Assistant Director of Nursing - Infection Prevention JobotAssistant Director of Nursing - Infection PreventionBaldwin, NY$130,000–$150,000 / yearThe building is clean, staffed well, and supported by leaders who understand that infection prevention only works when operations, nursing, pharmacy, education, and unit leadership are all pulling in the same direction. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewDirector of Estimating Building and Land TechnologyDirector of EstimatingStamford, CTThe ideal candidate will bring deep expertise in ground-up construction estimating, strong leadership capabilities, and a proven track record managing high-value projects from early design through bid execution and project turnover. Building and Land Technology (BLT) is seeking an experienced and strategic Director of Estimating to lead and actively participate in all estimating efforts for complex mid- to high-rise residential and commercial office developments in Stamford, CT.
Audit Manager / Director Kforce Inc.Audit Manager / DirectorJericho, NY$144,500–$195,000Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. If you are a public accounting assurance pro who is 100% certain that you want to be an owner/partner in an established, successful Long Island based CPA, contact us today!
Tax Director Kforce Inc.Tax DirectorParsippany, NJ$175,000–$275,000Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.
Manager / Director Transaction Services (M&A) Kforce Inc.Manager / Director Transaction Services (M&A)New York, NY$125,000–$200,000Run multiple and challenging Transaction Advisory Services engagements (financial due diligence), participating in transactions related to the acquisitions by private equity investor groups and strategic corporate buyers. Responsibilities Include: Manager/Director Transaction Services will lead buy - side diligence, sell - side diligence, working capital assistance, merger integration and optimization, divestitures and carve outs, and valuation services.
Director / Senior Tax Manager, CPA Kforce Inc.Director / Senior Tax Manager, CPAStamford, CT$165,000–$200,000Summary: In this position, you will lead client relations and business development activities, provide day-to-day accounting support to a portfolio of clients, and manager engagements, prepare tax filings as well as research and planning activities. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
NewInterim Director of Facilities and Operations Perennial ResourcesInterim Director of Facilities and OperationsStaten Island, NY$40–$45 / hourTemporaryFull timeDirector, Campus Administration, this senior staff role manages daily facilities services including HVAC, facilities maintainers, housekeeping, and security teams, preventive maintenance programs, as well as serving as the organizational lead for occupational health & safety and emergency response. Non-profit firm seeks a seasoned interim facilities leader to oversee campus-wide operations, maintenance, and strategic planning for buildings, grounds, and infrastructure.
Director FP&A - Hospitality Kforce Inc.Director FP&A - HospitalityNew York, NY$160,000–$190,000Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.
NewClinical Director/Physical Therapist - Cross Bronx Access Physical Therapy & WellnessClinical Director/Physical Therapist - Cross BronxBronx, NY$124,800–$135,200Founded in 2003 by brothers Chris and Steve Albanese and their wives, all practicing physical therapists, ACCESS PT was born out of a shared passion for delivering patient-centered care in their hometown of Orange County, NY. With a strong focus on partnership, exceptional service, and a culture of compassion, ACCESS PT continues to expand—driven by the vision of improving the lives of 100,000 patients annually.
NewAssoc. Director, Credit Quant The Bank of Nova ScotiaAssoc. Director, Credit QuantPECK SLIP, NYBuilding Liabilities cashflow models to replicate & confirm data is as expected & hidden risks are accounted for as it relates to prepayments, defaults, severity & other potential triggers. Building Collateral cashflow models to replicate & confirm data is as expected & hidden risks are accounted for as it relates to prepayments, defaults, severity & other potential inputs.
Assistant Director of Nursing Care-OneAssistant Director of NursingParamus, NJ$114,000–$150,000 / yearAlong with the Director of Nursing, promote positive employee relations, strong customer service ethic and commitment to ongoing staff education and training, May exercise direction over the department in the absence of the Director of Nursing. Assist the Director of Nursing with regulatory compliance and ensure effective communication strategies with all levels of nursing staff to promote effective care delivery.
NewDirector; Senior Architect Bank of America N.A.Director; Senior ArchitectPECK SLIP, NY$210,000–$220,000 / yearDirector; Senior Architect sought by Bank of America N.A. to work across the business, operations, & tech to create the solution intent & architectural vision for complex solutions, & prioritizing functional & non-functional reqs into a tech backlog to enable the tech roadmap & functionality to support evolving capabilities & services. in: Building, testing & documenting quantitative models consistent with model development procedures & model risk mgmnt expectations; Applying statistical skills of distributions, statistical testing, & regression with machine learning techniques & algorithms incl.
NewHealth Services Director, RN Brightview Senior Living, LLCHealth Services Director, RNParamus, NJ$120,000–$130,000After the community opens, you will get to provide ongoing nursing assessments and care oversight, identify clinical trends, implement corrective action and monitor the accurate delivery of medications to our residents, in addition to working with the residents’ physicians and medical personnel on the best plan of action for their continued care. About Us: Overview: The Health Services Director, Registered Nurse at Brightview Senior Living exemplifies the vision, the mission, and the vibrancy of the organization and leads the delivery of exceptional clinical care to our residents.
NewVice President / Director, Credit Analyst (Mortgage Sector) AxelonVice President / Director, Credit Analyst (Mortgage Sector)New York, NY$65–$72 / hourServe as a technical subject-matter expert on agency residential and commercial MBS, TBA, CMO, and DUS products for the Institutional Credit Analyst Team, Sales, and Trading teams. Collaborate with internal stakeholders, including coverage bankers, business lines, and risk teams, to provide credit expertise and support.
Associate Director, External Supplier QA GMP Daiichi Sankyo, Inc.Associate Director, External Supplier QA GMPBasking Ridge, NJ$153,600–$230,400 / yearFull timeCross-Functional Team Participation: Responsible for working with Quality Leaders in each operating site to influence and affect the necessary operations managed through the leadership teams and will partner closely with other Subject Matters Expert across all the Functional Units (Global ADC Team Members, Pharmaceutical Technology, QA-GMP and QA R&D functional areas, Regulatory Affairs – CMC, Pharmacovigilance, Medical Affairs and Supply Chain) to ensure compliant operations. Quality Management System (QMS): Ensures and support that a robust QMS is in place at CMOs with respect to the facility, equipment & lab instruments, engineering, maintenance, computerized systems and validation activities which complies with GMP guidelines such as ICH and PIC/s as well as FDA regulation requirements, industry best practices and will withstand regulatory inspections by regulatory authorities and regular audits.
Assistant Director of Rehabilitation (ADOR)- $3,000 Sign-On Bonus- Northern Manor Sigma RehabAssistant Director of Rehabilitation (ADOR)- $3,000 Sign-On Bonus- Northern ManorNanuet, NY$92,000–$100,000Sigma Health Rehab is seeking a dynamic and experienced Assistant Director of Rehabilitation (ADOR) to help lead our therapy department at our client facility, Northern Manor for Rehabilitation and Nursing located in, Nanuet, New York. If you are a motivated, compassionate professional committed to clinical excellence and team development, apply today and be part of a team transforming lives through skilled rehabilitation.
Assistant Director of Rehabilitation (ADOR) Sigma RehabAssistant Director of Rehabilitation (ADOR)The Bronx, NY$95,000–$115,000Sigma Health Rehab is seeking a dynamic and experienced Assistant Director of Rehabilitation (ADOR) to help lead our therapy department at our client facility, Beth Abraham Center for Rehabilitation and Nursing located in Bronx, New York. If you are a motivated, compassionate professional committed to clinical excellence and team development, apply today and be part of a team transforming lives through skilled rehabilitation.
Senior Director, Clinical Safety MD Daiichi Sankyo, Inc.Senior Director, Clinical Safety MDBasking Ridge, NJ$280,350–$467,250 / yearFull timeThe individual assuming this role may function as a key member of the Global Product Team in collaboration with Clinical Development, Regulatory, Project Management, Biostatistics, Pharmacology, and other departments to strategically manage benefit-risk throughout the lifecycle of the drug. Depending on the status of development of the compound, lead and medical-scientifically direct a team of physicians and scientists responsible for a compound/product including project-specific training and coaching of team members and review of team output cross-functionally.
NewSenior Director, Clinical Development - Hematology Daiichi Sankyo, Inc.Senior Director, Clinical Development - HematologyBasking Ridge, NJ$280,350–$467,250 / yearFull timeMay contribute to addressing questions about medical decisions, clinical data review, protocol deviations, etc., and/or scientific aspects of the study during FDA, MHRA, EMA, and PMDA interactions, such as pre-submissions, end of phase 1/2, and inspections. With a legacy of innovation since 1899, a presence in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders.
NewDirector, Global Oncology Medical Affairs, Scientific Partnerships Daiichi Sankyo, Inc.Director, Global Oncology Medical Affairs, Scientific PartnershipsBasking Ridge, NJ$201,840–$302,760 / yearFull timeLead the strategic identification, prioritization, and management of Cooperative Groups, academic networks, and external scientific partnerships; act as the primary medical interface to advance high-priority collaborations. The role will also establish and operationalize the infrastructure, processes, and collaboration frameworks required to support joint research and educational initiatives with Cooperative Groups, Academic Research Organizations and other research networks.
Senior Director, Clinical Safety Scientist Daiichi Sankyo, Inc.Senior Director, Clinical Safety ScientistBasking Ridge, NJ$242,700–$404,500 / yearFull timeLead scientist team to collaborate with safety physicians, regulatory affairs, clinical development, other functions and external partners to deliver high-quality safety assessments, regulatory submissions, aggregate reports, and responses to health authority queries. In addition to operational oversight, this role contributes to the development of global safety processes, talent capability building, and strategic alignment across the broader Clinical Safety and Pharmacovigilance (CSPV) function and the enterprise.
NewDirector, Clinical Safety Scientist Daiichi Sankyo, Inc.Director, Clinical Safety ScientistBasking Ridge, NJ$201,840–$302,760 / yearFull timeRisk Management (Signal identification, evaluation, mitigation): Is a key participant in developing and implementing the risk management strategy for assigned products/ TAs; Independently integrates and analyzes safety data from multiple sources to deliver comprehensive conclusions; Independently identifies gaps in safety surveillance plans/RMPs and escalates appropriately. With a legacy of innovation since 1899, a presence in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders.
Director, PV QA DSI Daiichi Sankyo, Inc.Director, PV QA DSIBasking Ridge, NJ$184,240–$276,360 / yearFull timeThe role will participate in other PV QA projects, tasks, and initiatives as needed and as instructed, including but not limited to including planning and PV QA executing the Pharmacovigilance Quality Strategy Plan in alignment with the DSI business objectives, review of key REMS documents, Health Authority Commitments, Quality Event management, escalation process and the CAPA oversight across applicable functional areas. Lead the PV inspection management activities by ensuring readiness, compliance, and inspection preparedness for the respective regulatory inspections in alignment with regulatory and company strategy, including coordinating and supporting preparation of CSPV teams and active participation and management of these processes, specifically in the US.
NewAssociate Director, Data Quality & Integrity, Global R&D & PV QA Daiichi Sankyo, Inc.Associate Director, Data Quality & Integrity, Global R&D & PV QABasking Ridge, NJ$153,600–$230,400 / yearFull timeLeadership & Strategy Execution – Lead execution of key elements of the global Data Integrity strategy and ensure alignment across R&D, PV, and MA.Translate strategic objectives into multi‑year roadmaps and annual operating plans for data integrity and computerized systems oversight (business operational data focus).Serve as a senior subject matter expert for data integrity and GxP computerized systems governance, advising leadership on risk‑based prioritization and compliance posture. This role leads cross‑functional initiatives, establishes program‑level oversight frameworks, mentors and develops QA capability, and partners with senior stakeholders to ensure robust data governance, regulatory compliance, and measurable continuous improvement.
NewFiduciary Director ECLAROFiduciary DirectorNew York, NYResponsibilities: Manage and develop trust centers, associated support, and specialty teams within Information, Management and Technology in roles with focus on delivering moderate complexity and risk. Required Skills: 8+ years of Fiduciary Products experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education.
Associate Director, Regulatory (RIM) Business Systems and Operations Daiichi Sankyo, Inc.Associate Director, Regulatory (RIM) Business Systems and OperationsBasking Ridge, NJ$157,920–$236,880 / yearFull timeThe Associate Director, Business Systems & Operations Management will function at various times as a manager of one or more business systems, as a leader of sub-teams or workstreams within larger projects or programs, as a contributor within various systems-related working groups, and as a senior business analyst, as required. The Associate Director, Business Systems & Operations Management is responsible for managing the operational, administrative, and tactical support of assigned business systems; as well as contributing to projects and initiatives that optimize the use of information technology to achieve departmental, divisional, and enterprise business objectives.
Director of Rehabilitation (DOR) $7,000 Sign-On Bonus-Far Rockaway Sigma RehabDirector of Rehabilitation (DOR) $7,000 Sign-On Bonus-Far RockawayQueens, NY$95,000–$105,000Sigma Health Rehab is seeking a dynamic and experienced Director of Rehabilitation (DOR) to lead our therapy department at our client facility, Far Rockaway Center for Rehabilitation and Nursing located in Queens, New York. If you are a motivated, compassionate professional committed to clinical excellence and team development, apply today and be part of a team transforming lives through skilled rehabilitation.
Director of Rehabilitation (DOR) -$8,000 Sign-On Bonus- Holliswood Sigma RehabDirector of Rehabilitation (DOR) -$8,000 Sign-On Bonus- HolliswoodQueens, NY$105,000–$120,000Sigma Health Rehab is seeking a dynamic and experienced Director of Rehabilitation (DOR) to lead our therapy department at our client facility, Holliswood Center for Rehabilitation and Nursing located in Hollis,New York. If you are a motivated, compassionate professional committed to clinical excellence and team development, apply today and be part of a team transforming lives through skilled rehabilitation.
Licensed Social Worker Assistant Director Care-OneLicensed Social Worker Assistant DirectorBound Brook, NJ$52,000–$72,000 / yearSocial Service functions include but are not limited to: supervising social service staff, direct services, advocacy, counseling, service coordination, education, in-servicing, policy and program development and community relations. Provide for therapeutic intervention to help residents cope with the social and psychological aspects of their illnesses, impairments, or disabilities as well as their feelings about institutionalization and separation from family, community, physical and emotional loss.