Administrator - (LNFA)

RENAISSANCE CARE CENTER; Gainesville (TX); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Competitive pay

401(k) with company match

Health, dental, vision insurance

PTO/Sick time

CEU reimbursement

Career growth opportunities

Supportive company culture

Job summary

Renaissance Care Center in Gainesville, TX seeks an Executive Director (LNFA) to lead operational, clinical, and financial performance of the SNF, driving EBITDAR results and census growth while ensuring high-quality resident care and regulatory compliance.

Ideal candidates bring LNFA licensure in Texas, 3+ years of LNFA leadership experience, and a proven ability to exceed financial targets in a skilled nursing setting.

Qualifications

• Current, valid Texas LNFA license required.
• Minimum 3 years of LNFA experience in a Skilled Nursing Facility.
• Strong track record in financial performance targets and census development.

Responsibilities

• Deliver EBITDAR performance through revenue management, cost control, and labor optimization.
• Lead service-excellence culture for residents, families, visitors, and staff.
• Analyze KPIs and implement corrective actions to improve outcomes.
• Drive census growth and occupancy via strategic marketing and referral development.
• Build relationships with hospitals, physicians, case managers, and referral sources.
• Ensure rapid admissions processes and strong survey readiness.

Skills

LNFA license

Leadership

Regulatory compliance

Census development

EBITDAR management

Communication

Education

Master’s degree in Business Administration or Healthcare Administration

Job description

Job Details

Job Location: Skilled Nursing at Renaissance Care Center - Gainesville, TX 76240

Position Type: Full Time

Job Category: Leadership & Support Services

Location: 1400 Black Hill Drive, Gainesville, Texas 76240

Schedule: Full‑time, exempt role with on‑call responsibilities

Reports to: Regional Vice President

MUST HAVE A VALID TEXAS LNFA LICENSE

What We Offer You

• Competitive pay
• Performance‑based bonus opportunities
• Comprehensive health, dental, and vision insurance
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (PTO/Sick)
• Clear career growth and advancement opportunities
• A supportive and vibrant company culture
• Many more employee perks and benefits

Job Summary

The Executive Director (LNFA) leads the operational, clinical, and financial performance of the Skilled Nursing Facility (SNF) by driving strong EBITDAR results, census growth, and high‑quality resident care. This role builds a high‑performance culture, strengthens regulatory readiness, and develops strategic relationships that expand market share and elevate the resident and family experience. The Executive Director ensures compliance with state and federal regulations while fostering a culture of service excellence, accountability, and continuous improvement. This role is ideal for an experienced Nursing Home Administrator (NHA/LNFA) with a strong background in skilled nursing facility operations, census growth, and regulatory compliance.

Qualifications

• Current, valid Texas Nursing Home Administrator license (LNFA) required
• Minimum 3 years of experience as an LNFA in a Skilled Nursing Facility
• Proven ability to achieve or exceed EBITDAR budgets and financial performance targets
• Demonstrated success in census development and referral relationship management
• Master’s degree in Business Administration or Healthcare Administration preferred
• Strong knowledge of state and federal regulations governing nursing home operations
• Comprehensive understanding of SNF reimbursement models across multiple payors
• Successful track record of regulatory and quality inspections
• Exceptional leadership, communication, and customer service skills
• Ability to work in a fast‑paced environment with a strong sense of urgency

Essential Functions

• Deliver strong EBITDAR performance through disciplined revenue management, cost control, and labor optimization
• Champion a service‑excellence culture for residents, families, visitors, and staff
• Analyze financial reports and key performance indicators (KPIs); identify trends and implement corrective actions
• Drive census growth and occupancy through strategic marketing, referral development, and hospital/ACO engagement
• Build and strengthen relationships with hospitals, physicians, case managers, and other referral sources
• Ensure a rapid, seamless admissions process that improves conversion rates and positions the facility as a preferred provider
• Achieve positive survey outcomes through proactive oversight of survey readiness, survey response, and timely execution of Plans of Correction (POCs)
• Ensure delivery of compassionate, resident‑centered care that meets or exceeds clinical, regulatory, and quality standards
• Foster a culture of safety, dignity, and service excellence for residents and families
• Proactively address resident and family concerns, ensuring timely resolution and communication
• Build and lead a high‑performing, accountable management team aligned to facility outcomes
• Strengthen employee engagement, communication, and recognition to reduce turnover and improve stability
• Collaborate with the Director of Nursing and interdisciplinary team to improve quality measures, financial outcomes, and resident satisfaction
• Maintain a proactive risk‑management posture through strong systems oversight, incident management, and timely reporting
• Lead Quality Assurance and Performance Improvement (QAPI) initiatives to improve outcomes, reduce rehospitalizations, and meet quality‑based reimbursement targets
• Oversee interdisciplinary collaboration for timely discharge planning and strong care transitions
• Monitor accounts receivable aging to maintain strong revenue cycle performance
• Represent the facility at community events and partnerships to support brand visibility and referral growth
• Provide strong, visible leadership to all department managers and staff
• Recruit, develop, and retain high‑performing leadership and staff
• Promote employee engagement, accountability, and professional development

Continuing Education

• Attend continuing education programs as necessary to maintain current licensure and stay informed on regulatory changes and best practices.

We are an Equal Opportunity Employer.

We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

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