LNHA Leader: Long-Term Care Operations & Compliance

Longterm Healthcare; Springfield (IL); On-site; USD 90,000 - 120,000; Full time

Job summary

Longterm Healthcare seeks an experienced Licensed Nursing Home Administrator (LNHA) to lead the skilled nursing facility’s operations, regulatory compliance, and financial performance. You will guide a multidisciplinary team to deliver high-quality, resident-centered care in a safe and compliant environment.

You will oversee budgets, staffing, and QAPI initiatives, while collaborating with nursing leadership and regulatory agencies to ensure survey readiness and continuous improvement.

Qualifications

• Current and unrestricted LNHA license in the applicable state.
• Bachelor's degree in healthcare administration, business administration, nursing, or related field preferred.
• Previous leadership experience in skilled nursing, long-term care, post-acute care, or related healthcare environment.
• Strong knowledge of federal and state nursing facility regulations and survey processes.
• Demonstrated experience managing staff, budgets, quality initiatives, and facility operations.
• Strong communication, leadership, organizational, and problem-solving skills.
• Ability to work effectively with residents, families, employees, physicians, and regulatory agencies.
• Proficiency with electronic medical records and standard business/administrative software.

Responsibilities

• Provide overall leadership and day-to-day operational management of the nursing facility.
• Ensure compliance with federal, state, and local regulations, including CMS, state Department of Public Health, and applicable licensing requirements.
• Maintain a strong culture of resident-centered care, safety, dignity, and quality.
• Lead and support department directors, nursing leadership, and interdisciplinary teams.
• Monitor clinical, operational, staffing, and quality metrics and implement corrective action when needed.
• Oversee the development, implementation, and evaluation of facility policies and procedures.
• Prepare for and successfully manage regulatory surveys, audits, inspections, and complaint investigations.
• Develop and monitor the facility's annual operating budget, census goals, labor costs, and financial performance.
• Partner with the Director of Nursing and clinical leadership to promote quality outcomes and regulatory compliance.
• Monitor staffing levels, recruitment, retention, employee engagement, and workforce performance.
• Address resident and family concerns promptly and professionally.
• Build positive relationships with residents, families, physicians, hospitals, vendors, and community organizations.
• Oversee facility performance improvement initiatives and Quality Assurance/Performance Improvement (QAPI) activities.
• Ensure accurate documentation, reporting, and maintenance of required records.
• Identify operational risks and develop strategies to improve efficiency, quality, and resident satisfaction.
• Participate in admissions, census development, marketing, and referral relationship initiatives as appropriate.
• Promote employee accountability, professional development, teamwork, and a positive workplace culture.
• Ensure the physical environment is safe, clean, secure, and appropriately maintained.
• Investigate incidents, complaints, and deficiencies and implement appropriate follow-up.
• Communicate organizational goals and expectations effectively to employees and leadership.
• Perform other duties necessary to support the successful operation of the facility.

Skills

Executive Leadership

Long-Term Care Operations

Regulatory Compliance

Financial & Budget Management

Quality Assurance & Performance

Staff Development & Retention

Resident & Family Relations

Risk Management

Strategic Planning

Interdisciplinary Team Leadership

Survey Readiness

Education

LNHA license

Bachelor's degree in healthcare administration / business administration / nursing

Tools

Electronic Medical Records

Standard software

Job description

Longterm Healthcare seeks an experienced Licensed Nursing Home Administrator (LNHA) to lead the skilled nursing facility’s operations, regulatory compliance, and financial performance. You will guide a multidisciplinary team to deliver high-quality, resident-centered care in a safe and compliant environment.

You will oversee budgets, staffing, and QAPI initiatives, while collaborating with nursing leadership and regulatory agencies to ensure survey readiness and continuous improvement.