Administrator (LNFA)

Carrara; Plano (TX); On-site; USD 140,000 - 190,000; Full time

Benefits offered by this job

401(k) with company match

Health insurance

Dental and vision insurance

Paid time off (PTO)

Job summary

Carrara in Plano, TX is seeking an Executive Director (LNFA) to lead the SNF's operational, clinical, and financial performance. You will drive EBITDAR results, census growth, and deliver exceptional resident care while ensuring regulatory readiness.

The ideal candidate holds a Texas LNFA license with 3–5 years LNFA experience, excels in leadership and strategic planning, and can build relationships with hospitals, physicians, and payors to expand market share.

Qualifications

• Current, valid Texas LNFA license required.
• 3–5 years of LNFA experience in SNF required.
• Proven ability to achieve EBITDAR budgets and financial targets.
• Experience in census development and referral management.
• Strong knowledge of state and federal regulations governing SNF operations.
• Comprehensive understanding of SNF reimbursement models across payors.
• Demonstrated track record of regulatory and quality inspections.
• Excellent leadership, communication, and customer service skills.

Responsibilities

• Deliver EBITDAR performance through revenue management, cost control, and labor optimization.
• Champion a service-excellence culture for residents, families, visitors, and staff.
• Analyze financial reports and KPIs; identify trends and corrective actions.
• Drive census growth and occupancy through strategic marketing and referrals.
• Build relationships with hospitals, physicians, case managers, and other sources.
• Ensure rapid admissions processes with high conversion rates.
• Lead QA/QI initiatives to improve outcomes and reimbursement targets.
• Oversee risk management and incident reporting; ensure compliance.
• Represent the facility at community events and partnerships.

Skills

Leadership

Regulatory compliance

Financial acumen

Census growth

Strategic planning

Communication

Team development

Education

Texas LNFA license

Job description

Location: 4501 Tradition Trail Plano, TX 75093Schedule: Full‑time, exempt role with on‑call responsibilitiesReports to: Regional Vice PresidentWhat 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 benefitsJob SummaryThe 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 3–5 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• 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 urgencyEssential 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 developmentContinuing 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.#CBON