Vice President of Skilled Nursing Operations

Key Responsibilities

• Establish the strategic direction for skilled nursing operations in alignment with organizational goals, growth plans, and clinical strategy.
• Develop and maintain system-wide operational frameworks, performance standards, and governance structures.
• Provide executive oversight and counsel to the COO regarding operational risk, performance trends, and portfolio-wide opportunities.
• Ensure consistent leadership cadence, accountability structures, and decision-making discipline across the skilled nursing platform.
• Set, implement, and monitor standardized operating models, best practices, and management systems across all skilled nursing facilities.
• Reduce unwarranted variation by driving consistency in operations, service delivery, and administrative practices.
• Lead and sponsor enterprise operational improvement initiatives focused on reliability, efficiency, and resident experience.
• Ensure timely identification, escalation, and resolution of operational risks and performance issues.
• Align operational execution with clinical quality priorities and resident outcome goals.
• Reinforce a culture of quality, safety, resident-centered care, and continuous improvement.
• Ensure operational support and accountability mechanisms are in place to sustain quality improvement initiatives.
• Monitor performance trends and deploy targeted interventions for underperforming facilities.
• Provide executive oversight for regulatory readiness and sustained compliance with federal, state, and local requirements.
• Ensure consistent survey preparedness systems, corrective action discipline, and long-term compliance sustainability.
• Partner with Compliance, Legal, and Risk leaders to identify, manage, and mitigate operational and regulatory risk.
• Maintain awareness and oversight of high-risk events with potential resident safety, compliance, or reputational impact.
• Own operational accountability for portfolio-level financial performance in collaboration with Finance.
• Drive effective labor management, productivity standards, expense control, and resource utilization.
• Lead operational action planning for budget variances and underperforming metrics.
• Support census growth, payer mix optimization, and margin sustainability through operational levers.
• Lead, develop, and hold accountable SNF operational leaders including administrators in training.
• Strengthen facility administrator performance through coaching, expectations clarity, and development pathways.
• Partner with Human Resources on leadership development, performance management, succession planning, and workforce strategy.
• Model Care Initiatives’ values and reinforce a culture of accountability, engagement, and service excellence.
• Ensure operational readiness for organizational growth, transitions, and strategic initiatives.
• Collaborate on due diligence and operational feasibility for growth opportunities.
• Align admissions, customer service, and operational processes to support census stability and growth.
• Build effective partnerships with corporate leaders, facility leaders, and key stakeholders.
• Communicate operational priorities, expectations, and performance results clearly and consistently.
• Represent skilled nursing operations in executive discussions and enterprise initiatives.

  Qualifications

  • Bachelor’s degree required, Master’s degree preferred (MHA, MBA, or equivalent).
  • Nursing Home Administrator (LNHA/NHA) license required.
  • Minimum of 5 years of senior executive leadership experience in skilled nursing and/or long-term care operations with multi-site responsibility required.
  • Demonstrated success improving quality outcomes, regulatory performance, and financial results.
  • Proven ability to lead leaders, drive enterprise change, and sustain operational discipline.
  • Demonstrated results driving enterprise-wide census growth.
  • Comprehensive knowledge of federal and state skilled nursing regulations.
  • Strong understanding of skilled nursing operational drivers including staffing, census, payer mix, and financial performance.
  • Working knowledge of performance improvement methodologies and data-driven management.