CFO Skilled Nursing Facilities

Cornerstone Services Inc; Des Moines (IA); On-site; USD 180,000 - 300,000; Full time

Job summary

Cornerstone Services Inc. is seeking an experienced Chief Financial Officer to lead the financial operations of our multi-facility skilled nursing portfolio.

The CFO will oversee accounting, finance, payroll, and reporting, driving accuracy, efficiency, and accountability across sites. You will partner with leadership to develop long-term financial strategy, manage budgets and cash flow, and optimize the revenue cycle, including Medicare/Medicaid.

Qualifications

• Bachelor's degree in Accounting, Finance, or a related field.
• Significant progressive experience in accounting and financial management.
• Demonstrated experience overseeing accounting operations, including AP, AR, payroll, and financial statement preparation.
• Strong understanding of GAAP, financial reporting, internal controls, and cash flow management.
• Proven ability to lead accounting teams and improve financial processes.
• Advanced Microsoft Excel skills and experience with accounting software.
• Strong analytical, organizational, and communication skills.
• Ability to manage multiple priorities and meet financial reporting deadlines.

Responsibilities

• Provide leadership and oversight of the accounting and finance department.
• Manage AP, AR, payroll, and general ledger accounting.
• Oversee monthly close processes, reconciliations, journal entries, and financial statements.
• Ensure timely preparation of financial reports (monthly, quarterly, annual).
• Establish internal controls and standardized accounting procedures.
• Monitor financial performance across multiple facilities.
• Develop budgets, forecasts, and cash flow projections.
• Oversee revenue cycle, billing performance, collections, and cash posting.
• Ensure GAAP compliance and regulatory reporting.
• Lead audits, tax reporting, and liaison with external accountants.

Skills

Leadership

GAAP knowledge

Financial analysis

Communication skills

Strategic planning

Multi-facility operations

Problem solving

Education

Bachelor's degree in Accounting/Finance

Tools

Microsoft Excel

Accounting software

Job description

We are seeking an experienced, hands-on, and results-driven Chief Financial Officer (CFO) to lead the financial operations of our skilled nursing facility management company.

The CFO will have direct oversight of the accounting and finance department, including accounts payable, accounts receivable, payroll, financial reporting, budgeting, and cash flow management across multiple skilled nursing facilities.

This individual will play a critical role in ensuring financial accuracy, operational efficiency, and accountability throughout the organization.

The ideal candidate is a strong financial leader who is equally comfortable developing long-term financial strategies and working directly with their team to solve day-to-day accounting and financial challenges.

Key Responsibilities:

Accounting & Financial Department Oversight

• Provide direct leadership and oversight of the accounting and finance department.

• Manage all aspects of accounts payable, accounts receivable, payroll, and general ledger accounting.

• Oversee monthly financial close processes, account reconciliations, journal entries, and financial statement preparation.

• Ensure accurate and timely preparation of monthly, quarterly, and annual financial reports.

• Establish and maintain internal controls, financial policies, and standardized accounting procedures.

• Ensure accuracy, consistency, and accountability across all financial functions.

• Supervise, mentor, and develop accounting and finance personnel.

Financial Management & Strategic Planning

• Develop and oversee organizational budgets, financial forecasts, and cash flow projections.

• Monitor financial performance across multiple skilled nursing facilities.

• Analyze revenue, expenses, labor costs, operating margins, and other key financial indicators.

• Identify financial risks, inefficiencies, and opportunities for improved profitability.

• Provide ownership and executive leadership with accurate financial data and actionable recommendations.

• Support financial planning related to acquisitions, facility transitions, and organizational growth.

Accounts Receivable & Revenue Cycle

• Oversee accounts receivable processes, billing performance, collections, and cash posting.

• Monitor aging reports, outstanding balances, and collection trends.

• Work collaboratively with billing teams and facility leadership to improve revenue cycle performance.

• Ensure appropriate financial oversight of Medicare, Medicaid, managed care, and private-pay reimbursement.

Payroll & Accounts Payable

• Oversee payroll operations to ensure accuracy, timeliness, and compliance with applicable regulations.

• Establish processes for payroll reconciliation, labor expense monitoring, and financial reporting.

• Manage accounts payable operations, vendor payments, and expense controls.

• Ensure appropriate approval processes, financial controls, and timely payment of financial obligations.

Compliance & Reporting

• Ensure compliance with generally accepted accounting principles (GAAP) and applicable healthcare financial regulations.

• Oversee financial audits, cost reports, tax reporting coordination, and other required financial submissions.

• Maintain accurate financial records and documentation.

• Collaborate with external accountants, auditors, banking partners, and financial advisors as needed.

Qualifications:

Required:

• Bachelor's degree in Accounting, Finance, or a related field.

• Significant progressive experience in accounting and financial management.

• Demonstrated experience directly overseeing accounting operations, including AP, AR, payroll, and financial statement preparation.

• Strong understanding of GAAP, financial reporting, internal controls, and cash flow management.

• Proven ability to lead accounting teams and improve financial processes.

• Advanced Microsoft Excel skills and experience with accounting software.

• Strong analytical, organizational, and communication skills.

• Ability to manage multiple priorities and meet financial reporting deadlines.

Preferred:

• CFO, Controller, VP of Finance, or comparable senior financial leadership experience.

• Experience in skilled nursing, long-term care, or multi-facility healthcare operations.

• Knowledge of Medicare and Medicaid reimbursement and healthcare revenue cycle management.

• Experience with multi-entity accounting and consolidated financial reporting.

• CPA or MBA.

• Experience supporting organizational growth, acquisitions, and facility transitions.

The Ideal Candidate

We are seeking a leader who takes ownership of the financial department and holds themselves and their team accountable for results.

The successful candidate will be:

• Hands-On: Willing to work alongside their team, troubleshoot issues, and ensure work is completed accurately.

• Accountable: Takes responsibility for financial performance, deadlines, and departmental results.

• Detail-Oriented: Maintains a high level of accuracy while understanding the broader financial picture.

• Proactive: Identifies problems early and implements effective solutions.

• Transparent: Communicates financial information clearly and openly with leadership.

• Collaborative: Works effectively with facility administrators, operational leadership, and ownership.

• Process-Driven: Establishes systems and procedures that improve efficiency, consistency, and financial accountability.

Why Join Our Team?

This is an opportunity to take a key leadership role within a growing skilled nursing organization. The CFO will have a direct impact on the development of our financial department, the performance of our facilities, and the overall success of the company.

We are looking for someone who is excited to build strong financial systems, lead a team, and contribute to the continued growth of our organization.

If you are a motivated financial leader who enjoys both strategic planning and hands-on financial management, we encourage you to apply.

We are an Equal Opportunity Employer.