Nursing Home Administrator (NHA)

Confidential; Sacramento (CA); On-site; USD 145,000 - 170,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Flexible Spending Account (FSA)

Dedicated work phone and laptop

Job summary

Confidential is seeking a Nursing Home Administrator (LNHA) to lead a California facility to a culture of quality and stability. The role reports to Regional Operations and offers a pay range of $145k-$170k.

You will oversee daily operations, manage surveys, drive occupancy, and mentor department heads while ensuring regulatory compliance and financial performance.

Qualifications

• Current, unencumbered Nursing Home Administrator license issued by the State.
• Minimum 1 year as a lead NHA in a skilled nursing facility.
• Experience managing P&L, census development, and Medicare/Medicaid reimbursement.
• Successfully led state and federal surveys with minimal citations.
• Deep fluency in state regulations and CMS requirements.

Responsibilities

• Oversee daily operations, including clinical care, staffing, and regulatory compliance.
• Manage state and federal surveys, implement Plans of Correction, and drive quality measures.
• Drive occupancy through community outreach, physician relations, and family satisfaction.
• Monitor budgets, control costs, and ensure timely Medicare/Medicaid reimbursement.
• Lead and mentor department heads.

Skills

NHA license

P&L management

Medicare/Medicaid experience

Regulatory compliance

Staff leadership

Quality measures

Job description

Title:Nursing Home Administrator (LNHA)
Status:Full-Time, Exempt
Reports To:Regional Operations
Pay Range: $145k-$170k

THE ROLE

You will lead the facility to a culture of quality and stability.

WHAT YOU BRING TO THE FACILITY

• THE FOUNDATION
  • Current, unencumberedNursing Home Administrator license issued bythe State.
  • License in good standing with no active probation or substantiated violations.
• THE JOURNEY
  • Minimum1 year as a lead NHA in a skilled nursing facility.
  • Proven track record of maintaining quality measures (or demonstrable improvement trajectory).
  • Experience managing P&L, census development, and Medicare/Medicaid reimbursement.
  • Successfully led state and federal surveys with minimal or well-managed citations.
• THE CRAFT
  • Deep fluency in state regulations and federalCMS requirements.
  • Be a true operational partner to the Director of Nursing.
  • Staff a weekend without begging.
  • Financial acumen.
• THE CHARACTER
  • Calm yet authoritative during a survey.
  • Handles family and resident concerns with empathy and sound judgment.
  • Treats all staff with equal respect. Builds a culture where staff feel valued.

WHAT YOU WILL BE DOING

• Oversee all daily operations, including clinical care, staffing, and regulatory compliance.
• Manage state and federal surveys, implement Plans of Correction, and drive quality measures.
• Drive occupancy through community outreach, physician relations, and family satisfaction.
• Monitor budgets, control costs, and ensure timely Medicare/Medicaid reimbursement.
• Lead and mentor department heads.

BENEFITS & BEYOND

We offer a competitive package, including:

• Medical, dental, and vision insurance
• 401(k) with company match
• Flexible Spending Account (FSA)
• And much more (details provided upon offer)

WORK-LIFE BALANCE (REALISTIC & SUPPORTIVE)

As a licensed Nursing Home Administrator, you are the State's primary point of contact and must be available to respond to urgent matters at any time. That is the nature of the role. At the same time, we believe in a healthy boundary between your personal pursuits and professional responsibilities. You will receive adedicated work phoneandlaptop- so you never have to use your personal devices for work. When an issue arises, you use the work phone. When there is no active issue, you are not expected to monitor your personal devices for work. This separation allows you to be fully responsive when needed, without work bleeding into your personal space or privacy.

EQUAL EMPLOYMENT OPPORTUNITY

We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, regardless of race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other legally protected status.

PAY TRANSPARENCY

The expected pay range for this role is as stated above.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.