Executive Director

Better Living; Charles City (IA); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid time off and holidays

401 (K) matching

Professional development opportunities

Employee assistance programs

Job summary

Better Living in Iowa seeks an experienced healthcare operations leader to oversee daily operations at our assisted living community. You will align programs with our mission to deliver comfort, connection, and dignity, while guiding a diverse team to provide exceptional resident care.

In this senior leadership role you will oversee regulatory compliance, budgeting, staffing, and quality-improvement initiatives, partnering with department heads to sustain occupancy growth and cultivate a

Qualifications

• Certificate/License per state
• Bachelor’s degree in healthcare administration, business, public health, or related field
• 3–5 years of leadership experience in long-term care or healthcare administration
• Knowledge of regulations and licensure for assisted living
• Proven ability to lead and manage teams effectively
• Strong financial, organizational, and problem-solving skills
• Excellent interpersonal and communication abilities
• Experience with EHRs and state reporting systems preferred
• Must pass criminal background check to serve vulnerable adults
• Reading, writing and comprehension of English

Responsibilities

• Lead and manage the overall operations of the facility, ensuring compliance with state, federal, and local regulations
• Ensure health, safety, and well-being of all residents with high care standards
• Supervise and support department leaders for coordinated service delivery
• Recruit, hire, train, and retain qualified staff; promote a positive workplace culture
• Oversee budgeting, billing, payroll, and expense management; meet occupancy and revenue goals
• Build relationships with residents, families, staff, and the community
• Lead quality assurance and improvement initiatives; respond to concerns promptly
• Participate in marketing and outreach to maintain census levels
• Maintain documentation and reporting per licensing and audits
• Other duties as assigned

Skills

Leadership

Regulatory compliance

Strategic planning

Staff development

Education

Bachelor’s degree in healthcare administration or related field

Tools

EHR systems

State reporting systems

Job description

At Better Living, we believe every stage of life should be filled with purpose, dignity, and joy.

We’re not just a senior living management company—we’re a team driven by compassion, grounded in hospitality, and committed to doing what’s right for residents, families, and staff. Our communities are built on meaningful connections, personalized support, and everyday moments that matter.

This is senior living, only better.

Benefits

• Compensation - $
• Health, dental, and vision insurance
• Paid time off and holidays
• 401 (K) matching
• Professional development opportunities
• Employee assistance programs

Job Summary

In this role, you will oversee the daily operations of your designated assisted living community, ensuring programs align with our mission to provide comfort, connection, and dignity to every resident. This leadership role also works to create a positive and supportive workplace where staff feel valued and supported in their development. By leading department heads, this role ensures the community meets—and exceeds—our high standards of care and service.

Key Responsibilities

• Lead and manage the overall operations of the facility, ensuring compliance with state, federal, and local regulations
• Ensure the health, safety, and well-being of all residents by upholding the highest standards of care and service
• Supervise and support department leaders to ensure effective, coordinated service delivery
• Recruit, hire, train, and retain qualified staff; promote a positive and productive workplace culture
• Oversee financial operations including budgeting, billing, payroll, and expense management; meet occupancy and revenue goals
• Build strong relationships with residents, families, staff, and the surrounding community
• Lead quality assurance and improvement initiatives; respond to and resolve resident concerns and complaints promptly and effectively
• Participate in marketing and community outreach to maintain strong census levels and promote the facility’s reputation
• Maintain documentation and reporting in accordance with state licensing and audit requirements
• Other duties as assigned

Requirements

• Certificate/License per state
• Bachelor’s degree in healthcare administration, business, public health, or a related field
• Minimum 3-5 years of leadership experience in long-term care, assisted living, or healthcare administration
• Comprehensive knowledge of regulations, Assisted Living Licensure statutes, and best practices in senior care
• Proven ability to lead and manage teams effectively
• Strong financial, organizational, and problem-solving skills
• Excellent interpersonal and communication abilities
• Experience with electronic health records (EHRs) and state reporting systems preferred
• Must pass required criminal background check in order to serve vulnerable adults
• Strong focus on occupancy and leading sales
• Must be screened TB and other state-required health care conditions
• Be able to read, write, and comprehend English

Physical Demands and Work Environment

• Indoors, climate-controlled assisted living facility with a focus on personalized care
• Possible exposure to unpleasant odors.
• Possible exposure to chemicals as indicated in the MSDS manual.
• Continuous exposure to clients and/or family members who may be under stress.

We are an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.