Licensed Nursing Home Administrator — Lead Care & Growth

Ascent Healthcare Management; Asheville (NC); On-site; USD 110,000 - 160,000; Full time

Job summary

Ascent Healthcare Management seeks a Licensed Nursing Home Administrator for Western North Carolina, overseeing day-to-day operations, clinical oversight, regulatory compliance, financial management, and staffing at a skilled nursing facility. The role reports to the Regional/Corporate Executive Team and focuses on high-quality care and resident satisfaction.

This position requires an NC LNHA license, 3–5 years in long-term care leadership, strong budgeting, staffing and people skills, and a

Qualifications

• Valid NC Nursing Home Administrator license or eligible.
• Bachelor’s degree in healthcare administration, business, nursing, or related field; master’s preferred but not required.
• 3–5 years in long-term care administration or equivalent leadership role.
• Demonstrated skills in budgeting, staffing, HR, regulatory compliance, and quality assurance.
• Strong leadership, communication, public-relations, conflict-resolution, and decision-making abilities.
• Ability to work flexible hours and be on-call due to 24/7 operations.

Responsibilities

• Provide executive leadership for all facility departments (clinical, administrative, dietary, maintenance, support services).
• Oversee admissions, care coordination, resident well-being, and discharge processes; ensure care plans are implemented and families informed.
• Maintain regulatory compliance and develop/monitor the facility budget (Medicaid/Medicare/private pay).
• Hire, train, mentor, and evaluate staff; foster a high-performance culture.
• Coordinate with leadership to meet occupancy/census targets; collaborate on marketing and community relations.
• Lead quality-improvement initiatives, safety programs, and resident-satisfaction efforts; support corporate leadership.

Skills

Leadership

Regulatory compliance

Financial management

Staffing

Communication

Decision making

Education

Bachelor’s degree in healthcare or related field

Job description

Ascent Healthcare Management seeks a Licensed Nursing Home Administrator for Western North Carolina, overseeing day-to-day operations, clinical oversight, regulatory compliance, financial management, and staffing at a skilled nursing facility. The role reports to the Regional/Corporate Executive Team and focuses on high-quality care and resident satisfaction.

This position requires an NC LNHA license, 3–5 years in long-term care leadership, strong budgeting, staffing and people skills, and a