Executive Director for Transitional Care/Skilled Nursing Rehabilitation Community

About the role

The Executive Director provides overall leadership, management, and day-to-day operational oversight of the skilled nursing community. This role ensures the delivery of high-quality resident care, regulatory compliance, financial performance, workforce engagement, and operational excellence. The Executive Director collaborizes with residents, families, employees, physicians, and community partners to foster a culture of accountability, service, safety, and continuous improvement.

Responsibilities

• Provide leadership and operational oversight for all aspects of the skilled nursing community, ensuring excellence in resident care, customer service, operational performance, and regulatory compliance.
• Develop, implement, evaluate, and continuously improve programs, services, policies, and operational processes.
• Lead, mentor, and hold department leaders accountable to achieve operational, clinical, financial, and customer satisfaction goals.
• Develop, monitor, and manage operating and capital budgets while ensuring responsible stewardship of organizational resources.
• Monitor key performance indicators, quality measures, resident satisfaction scores, workforce metrics, and financial results, implementing improvement plans as needed.
• Ensure ongoing survey readiness and compliance with all applicable federal, state, and local regulations.
• Partner with clinical leadership to promote resident safety, quality outcomes, infection prevention, risk management, and continuous quality improvement.
• Establish and maintain effective relationships with residents, families, physicians, referral sources, regulatory agencies, and community partners.
• Conduct routine rounds and inspections to ensure quality standards, operational efficiency, safety, and customer service expectations are met.
• Lead response efforts related to surveys, audits, investigations, emergency preparedness, and plans of correction.
• Promote employee engagement, professional development, succession planning, and a positive workplace culture.
• Lead occupancy growth initiatives and support census development through marketing, networking, and business development activities.
• Represent the community and organization in professional, civic, regulatory, and industry organizations.
• Ensure all residents receive care and services in an environment that promotes dignity, choice, quality of life, safety, and resident rights.
• Recruit and select qualified managers, supervisors, consultants, and support staff.
• Collaborate with department managers to address issues and improve services.
• Ensure sufficient trained staff are present at all times and support staff development.
• Monitor performance and implement coaching, counseling, or discipline as needed, addressing issues up to termination if required.
• Maintain positive relationships with medical professionals and related organizations via formal agreements.
• Assist in planning and conducting training, orientation, and ongoing education for staff.
• Ensure compliance with established safety regulations, including fire protection/prevention, smoking regulations, and infection control.
• Maintain the building and grounds in good repair.
• Review accident/incident reports and establish an effective accident prevention program.
• Ensure development of a county-approved Disaster Plan.
• Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
• Prepare an annual operating budget for approval and allocate resources to carry out programs and activities of the facility.
• Assist in the establishment and maintenance of adequate facility systems reflecting operating costs.

Requirements

• Must meet all applicable state and federal requirements for this position.
• Bachelor’s degree required; degree in Public Health Administration, Business Administration, or a health-related field preferred.
• Minimum of 5 years of experience in a supervisory capacity in a hospital or long-term care facility.
• Current, unencumbered Nursing Home Administrator/Executive Director’s license or meet the licensure requirements of the state.

Skills

• Ability to make independent decisions and follow instructions.
• Strong interpersonal skills to deal tactfully with personnel, residents, family members, visitors, government agencies, and the public.
• Capability to work effectively with ill, disabled, elderly, and emotionally upset individuals.
• Excellent communication skills for interacting with supervisors, team members, residents, and families.
• Proficiency in Microsoft Office Suite.