Executive Director for Transitional Care/Skilled Nursing Rehabilitation Community

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The Executive Director is responsible for the overall leadership, management, and day-to-day operations of the skilled nursing community, ensuring the delivery of high-quality resident care, regulatory compliance, financial performance, workforce engagement, and operational excellence. This position provides strategic and operational oversight of all departments, fostering a culture of accountability, service, safety, and continuous improvement. The Executive Director works collaboratively with residents, families, employees, physicians, and community partners to ensure exceptional outcomes and a positive living and working environment, while maintaining compliance with all applicable federal, state, and local regulations and organizational standards.

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Essential Job Functions

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ADMINISTRATION

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

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• Be able to make independent decisions and follow instructions.
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• Deal tactfully with personnel, prospects, residents, family members, visitors, government agencies/personnel, and the public.
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• Capable of working with ill, disabled, elderly, and emotionally upset people within the facility.
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• Communicate effectively in a manner that is sufficient for supervisors, team members, prospects, residents, and families.
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• Knowledge/proficiency of Microsoft Office Suite.
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Education and Experience

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• Must meet all applicable state and federal requirements for this position.
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• A bachelor's degree is necessary. A degree in Public Health Administration or Business Administration, or a health-related degree is preferred but not required.
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• Must have, as a minimum, 5-year (s) experience in a supervisory capacity in a hospital or long-term care facility.
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• Must possess a current, unencumbered Nursing Home Administrator / Executive Director's license or meet the licensure requirements of this State.
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Supervisory Responsibility

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• This position does have any direct reports or supervisory requirements.
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