Health Services Administrator

RiverWoods Exeter seeks a Health Services Administrator to lead day-to-day operations within the health center and drive strategic initiatives across Assisted Living, Enhanced Assisted Living, and Skilled Nursing.

Responsibilities

• Provide strategic leadership for health center operations, including direct supervision, coaching, and development of department leaders.
• Foster an engaged culture that reflects RiverWoods values and delivers exceptional resident care, safety, and compassion.
• Ensure regulatory compliance with all federal, state, licensing, accreditation, and organizational requirements.
• Maintain survey readiness and lead responses to audits, inspections, investigations, plans of correction, and other regulatory actions.
• Oversee daily operations to ensure efficient, high-quality resident services and a safe, clean environment.
• Manage financial performance by partnering with the Executive Director and Finance team on operating, capital, labor, and staffing budgets; monitor census, expenses, revenue, and workforce utilization.
• Lead Quality Improvement (QAPI) initiatives through performance monitoring, data analysis, corrective actions, and continuous improvement efforts.
• Drive admissions and census growth by partnering with Sales, Nursing, Finance, and Social Services to manage admissions, transitions, bed utilization, and payer mix.
• Build strong relationships with residents, families, staff, healthcare providers, educational partners, vendors, and community organizations.
• Address resident and family concerns promptly, ensuring compliance with grievance processes and identifying opportunities for improvement.
• Lead emergency preparedness and risk management activities, including incident response, investigations, safety initiatives, emergency operations, and regulatory reporting.
• Develop and improve policies and procedures in partnership with organizational leadership to support operational excellence and compliance.
• Manage contracted services and maintain effective relationships with medical providers, rehabilitation, laboratory, pharmacy, hospice, billing, staffing, and other service partners.
• Represent RiverWoods in the community and support community engagement initiatives and events when appropriate.
• Provide after-hours leadership as part of an administrator-on-call rotation and respond to operational, regulatory, staffing, or resident care emergencies as needed.

Requirements

• Strong leadership, decision-making, and team management skills.
• Thorough knowledge of post-acute care regulations, CMS requirements, and state licensing standards.
• Ability to interpret and implement policies, procedures, and operational goals.
• Experience developing and managing operating, labor, staffing, and capital budgets.
• Ability to build positive relationships with residents, families, staff, vendors, and community partners.
• Commitment to confidentiality, professional integrity, and compliance with organizational policies and the RiverWoods Code of Conduct.
• Excellent customer service, communication, and problem-solving skills.
• Bachelor’s degree from an accredited college or university; Master’s degree preferred.
• Current, valid, unencumbered New Hampshire Nursing Home Administrator license.
• 5+ years of Long-Term Care (or equivalent) supervisory and/or managerial experience (10+ years preferred).
• Certification with the American College of Health Care Administrators (ACHCA) is preferred.
• Intermediate computer proficiency with Microsoft Office applications.
• Solid working knowledge of Electronic Medical Records systems.
• Familiarity with Time and Attendance software systems.
• Ability to cope with frequent interruptions and manage multiple, competing priorities.
• Must be able to work hours as scheduled based on the requirements of the position and the facility.

Benefits

• Medical and Dental Insurance (within 30 days of starting employment).
• 403(b) Retirement plan with a company match.
• Generous Earned Time off Policy.
• 6 Paid Holidays and 4 Personal Days.
• Wellness Programs.
• DailyPay partnership—get paid daily.
• On-site fitness opportunities.
• Employee meal program.
• Education assistance.

About RiverWoods

Northern New England’s largest family of Continuing Care Retirement Communities (CCRCs), RiverWoods has three communities united by a single philosophy: providing community and peace of mind. Since 1994, we’ve honored our founding premise—making things better for people every day. We believe growing older should enhance, not diminish, the opportunity for a productive and rewarding life. Each team member plays a critical role in achieving our mission: to create community and provide peace of mind to our residents.