Job Description

Job Description

Executive Director / Nursing Home Administrator (NHA)

We are seeking an experienced Executive Director / Nursing Home Administrator (NHA) to lead a not-for-profit skilled nursing and rehabilitation facility. This is a senior leadership opportunity for a strategic, financially astute administrator who is passionate about resident-centered care and organizational growth.

Reporting directly to the Board of Trustees , the Executive Director will provide visionary leadership while ensuring operational excellence, regulatory compliance, and financial stewardship. This is an exceptional opportunity for a values-based leader who thrives in collaborative environments and is motivated by purpose as much as performance.

Key Responsibilities

Leadership & Organizational Management

• Provide strategic leadership aligned with the organization’s mission and values
• Lead, mentor, and evaluate department heads and senior staff
• Foster a collaborative, ethical, and resident-focused culture
• Drive continuous quality improvement and resident satisfaction
• Oversee recruitment, retention, and workforce planning
• Ensure appropriate staffing levels and regulatory compliance

Regulatory Compliance & Risk Management

• Ensure compliance with all federal, state, and local long-term care regulations (CMS, state licensing, OSHA)
• Lead survey readiness efforts and manage regulatory inspections and audits
• Oversee risk management, incident reporting, and safety initiatives

Financial Oversight & Operational Performance

• Develop and manage the annual operating budget
• Oversee financial reporting, cost controls, and revenue cycle performance
• Improve payer mix with a focus on increasing Medicare census
• Manage productivity metrics, reduce overtime, and improve PPD performance
• Collaborate with the Board on long-term financial sustainability

Resident Care & Services

• Ensure delivery of high-quality, person-centered care across all service lines
• Support interdisciplinary care planning and individualized resident experiences
• Address resident and family concerns with professionalism and compassion

Community Engagement & Board Relations

• Serve as the organization’s ambassador to community partners and stakeholders
• Support fundraising and community outreach initiatives
• Provide regular operational, financial, and quality reports to the Board
• Participate in board meetings, committees, and strategic planning efforts

Compensation: $155,000 – $180,000/yr (Depending on experience)

• Performance-based bonus up to $10,000
• Generous benefits package including over 5 weeks of paid time off

Qualifications

Required

• Bachelor’s degree in Healthcare Administration, Business, or related field
• Current Nursing Home Administrator (NHA) license (or eligible and willing to obtain)
• Minimum of 3–5 years of experience as a licensed Nursing Home Administrator
• Strong knowledge of long-term care operations and CMS regulations
• Demonstrated financial management and budgeting experience

Preferred

• Master’s degree (MHA, MBA, MPH, or related)
• Experience in a not-for-profit long-term care environment
• Proven success improving payer mix and operational efficiency
• Familiarity with person-centered care and culture-change models

This role is ideal for a seasoned administrator seeking to make a meaningful impact while leading a mission-driven organization positioned for long-term success!

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Job Tags

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