Administrator / Executive Director

About the Role

We are looking for an experienced, decisive, and people-centered Administrator to lead the overall operations of our skilled nursing community. You will oversee clinical, financial, regulatory, and human resources functions, build a strong team culture, drive census growth, and ensure our residents receive exceptional care every single day. If you are a licensed administrator who leads with integrity, holds high standards, and genuinely loves long-term care — we want to meet you.

Benefits

Benefits for Full-Time Staff Include:

• Medical, Dental, Vision and Prescription Drug Insurance
• 401(K) with company match
• PTO
• Virtual Doctor Visits - Telehealth
• Flexible Spending Account (FSA)
• Life and AD&D Insurance
• Disability Insurance
• KISx Card (surgery and imaging program)
• Tuition Reimbursement
• Daily Pay Available
• Fun, Creative, and Mission-driven work environment
• Supportive leadership that values your ideas

Responsibilities

Operations & Leadership

• Lead all day-to-day operations of the skilled nursing community across all departments and all shifts
• Build, develop, and retain a high-performing interdisciplinary leadership team
• Foster a culture of accountability, compassion, teamwork, and resident-centered care
• Conduct regular department head meetings, leadership rounds, and staff visibility on all shifts
• Ensure all departments operate in alignment with the community's mission, values, and standards

Clinical & Regulatory

• Ensure compliance with CMS Conditions of Participation, state health department regulations, and all applicable federal and state laws
• Lead survey preparation and manage the facility's response to annual state inspections and deficiencies
• Oversee clinical quality metrics including falls, pressure injuries, hospitalizations, and infection rates
• Support and partner with the Director of Nursing on clinical operations and staffing
• Ensure the QAPI program is active, data-driven, and producing measurable improvement

Financial Performance

• Manage the community's operating budget, census development, and financial performance
• Monitor daily census by payer mix and partner with Marketing & Admissions to drive occupancy
• Review and manage labor costs, overtime, agency utilization, and departmental expenses
• Ensure accurate and timely Medicare, Medicaid, and private pay billing in partnership with the Business Office
• Report financial performance to ownership and regional leadership on a regular basis

Human Resources & Culture

• Oversee recruitment, hiring, onboarding, performance management, and retention of all team members
• Address team member relations issues promptly, fairly, and in compliance with applicable employment law
• Champion team member recognition, engagement, and a positive workplace culture
• Ensure compliance with OSHA, HR policies, and all applicable employment regulations

Resident & Family Relations

• Maintain an open-door policy for residents, families, and team members
• Respond to and resolve resident and family concerns and grievances promptly and professionally
• Ensure resident rights are protected and upheld throughout the community at all times
• Participate in care conferences and maintain visibility and relationships with residents and families

Requirements

• Current, unrestricted Nursing Home Administrator (NHA) license in the state of practice required
• Minimum 2 to 3 years of experience as a licensed Administrator or Executive Director in a skilled nursing or long-term care setting
• Strong working knowledge of CMS regulations, state survey process, and long-term care operations
• Proven track record of financial management, census development, and regulatory compliance
• Demonstrated ability to lead, develop, and retain a high-performing interdisciplinary team
• Strong communication, conflict resolution, and organizational skills
• Experience with electronic health record systems and operational reporting tools