Regional Director of Operations (Skilled Nursing Facilities)

Legacy Healthcare; Utah; On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Competitive base salary

Performance-based bonus

Health, dental, and vision benefits

Paid time off

Travel reimbursement

Professional growth opportunities

Job summary

Legacy Healthcare is seeking an experienced Regional Director of Operations to oversee 10 Skilled Nursing Facilities across Wyoming, New Mexico, and Kansas. The role provides operational leadership, financial oversight, regulatory guidance, and leadership development to ensure quality care, strong financial performance, compliance, and census growth.

The ideal candidate has a proven track record managing multi‑facility SNF operations, improving facility performance, developing administrators,

Qualifications

• Minimum of 5 years in multi-facility SNF operations.
• Proven track record overseeing several SNFs simultaneously.
• Strong knowledge of Medicare, Medicaid, PDPM and reimbursement systems.
• Experience with regulatory compliance, survey management and quality improvement.
• Strong financial acumen with ability to analyze facility performance.
• Willingness to travel across the region.

Responsibilities

• Provide oversight to facility Administrators and leadership teams.
• Monitor performance and implement action plans to improve outcomes.
• Ensure regulatory compliance across all facilities.
• Support survey preparation and follow-up.
• Develop census growth strategies and strengthen referral sources.
• Coach and develop Administrators and department leaders.

Skills

Multi-facility SNF ops

Financial acumen

Regulatory compliance

Travel-ready

Leadership development

Job description

Regional Director of Operations (Skilled Nursing Facilities)

Location: Western Region (Wyoming, New Mexico, and Kansas)
Portfolio: 10 Skilled Nursing Facilities

Position Summary

We are seeking an experienced Regional Director of Operations (RDO) to oversee a portfolio of 10 Skilled Nursing Facilities located throughout Wyoming, New Mexico, and Kansas. The Regional Director will provide operational leadership, financial oversight, regulatory guidance, and leadership development to ensure each facility achieves excellence in quality care, financial performance, compliance, and census growth.

The ideal candidate is a proven multi-facility SNF operator with a strong track record of improving building performance, developing administrators, and driving accountability across a diverse portfolio.

Essential Responsibilities

Operational Leadership

• Provide direct oversight and support to facility Administrators and leadership teams.

• Monitor operational performance and implement action plans to improve outcomes.

• Establish and maintain accountability measures across all facilities.

• Conduct regular facility visits to ensure operational excellence and execution of company initiatives.

Financial Management

• Review and analyze facility financial performance, including census, labor, agency utilization, and operating margins.

• Partner with Administrators to develop and execute plans to improve profitability.

• Monitor budgets and key performance indicators to achieve operational and financial goals.

Regulatory & Quality Oversight

• Ensure facilities maintain compliance with federal, state, and company regulations.

• Support facilities in survey preparation, execution, and follow-up.

• Monitor quality measures, risk management initiatives, and resident satisfaction metrics.

• Collaborate with clinical leadership to improve outcomes and survey performance.

Census Development

• Work with facility leadership to develop and implement census growth strategies.

• Strengthen relationships with hospitals, physicians, managed care organizations, and referral sources.

• Identify opportunities to increase market share and occupancy.

Leadership Development

• Coach, mentor, and develop Administrators and key department leaders.

• Assist with recruitment, retention, and succession planning efforts.

• Foster a culture of accountability, teamwork, and resident-centered care.

Qualifications

Required

• Minimum of 5 years of multi-facility Skilled Nursing Facility operations experience.

• Demonstrated success overseeing multiple SNFs simultaneously.

• Strong knowledge of Medicare, Medicaid, PDPM, reimbursement systems, and long-term care operations.

• Experience with regulatory compliance, survey management, and quality improvement initiatives.

• Strong financial acumen with the ability to analyze and improve facility performance.

• Ability to travel extensively throughout the assigned region.

Preferred

• Licensed Nursing Home Administrator (LNHA) preferred.

• Previous experience as a Regional Director of Operations or multi-facility leader.

• Experience operating in rural healthcare markets.

• Proven success leading turnaround and performance improvement initiatives.

Key Performance Indicators

• Occupancy and census growth

• Financial performance and budget achievement

• Labor management and agency reduction

• Survey results and regulatory compliance

• Quality Measures (QMs)

• Employee retention and leadership stability

• Hospital referral development

• Resident and family satisfaction

Compensation & Benefits

• Competitive base salary

• Performance-based bonus opportunity

• Health, dental, and vision benefits

• Paid time off

• Travel reimbursement

• Professional growth opportunities

Ideal Candidate

The successful candidate is a hands-on SNF operator who can build strong relationships with facility leadership while driving accountability and results. This individual understands how to improve census, manage labor, strengthen compliance, develop leaders, and improve overall facility performance across a multi-state portfolio.