CNO: Multi-State Nursing & Clinical Excellence

Legacy Healthcare; California (MO); On-site; USD 180,000 - 300,000; Full time

Job summary

Legacy Healthcare, a multi-state skilled nursing and post-acute care organization, seeks a Chief Nursing Officer to lead nursing and clinical operations across its expanding portfolio. This executive role shapes clinical strategy, mentors regional leaders, and drives excellence in resident care.

The CNO will ensure CMS and state regulatory compliance, advance quality metrics, and guide QAPI initiatives while supporting acquisitions and new facility integrations.

Qualifications

• Active Registered Nurse license in good standing.
• BSN degree required.
• 10+ years in progressive nursing leadership.
• Minimum 5 years in executive or regional leadership in Skilled Nursing, Long-Term Care, or Post-Acute Care.
• Experience overseeing multiple facilities across states.
• Extensive knowledge of CMS regulations, survey processes, quality measures, reimbursement, and skilled nursing operations.
• Proven track record improving clinical outcomes, regulatory compliance, and nursing performance.

Responsibilities

• Provide executive leadership for nursing and clinical operations across multi-state facilities.
• Lead and mentor Regional Clinical Directors, Directors of Nursing, and other clinical leaders.
• Develop and implement organization-wide clinical strategies to improve quality outcomes and resident satisfaction.
• Ensure CMS, state, and federal regulations while maintaining survey readiness across all facilities.
• Drive improvements in Five-Star Quality ratings, infection prevention, rehospitalization rates, and other quality metrics.
• Partner with Operations, Finance, Human Resources, and executive leadership to improve clinical performance and organizational growth.
• Standardize clinical best practices while supporting the unique needs of individual facilities.
• Lead Quality Assurance and Performance Improvement (QAPI) initiatives.
• Support acquisitions, new facility integrations, and organizational expansion.
• Build a culture of accountability, collaboration, and continuous improvement.

Skills

RN license

BSN

Nursing leadership

CMS knowledge

Regulatory compliance

Quality improvement

Executive leadership

Multi-site leadership

Education

BSN

Master's degree preferred

NE-BC / CENP

Job description

Legacy Healthcare, a multi-state skilled nursing and post-acute care organization, seeks a Chief Nursing Officer to lead nursing and clinical operations across its expanding portfolio. This executive role shapes clinical strategy, mentors regional leaders, and drives excellence in resident care.

The CNO will ensure CMS and state regulatory compliance, advance quality metrics, and guide QAPI initiatives while supporting acquisitions and new facility integrations.