Regional Vice President of Operations

Apploi; Richmond (VA); On-site; USD 160,000 - 230,000; Full time

Job summary

Apploi seeks a Regional Vice President of Operations (RVPO) for Central Virginia, overseeing multiple skilled nursing and rehabilitation facilities around Richmond. You will provide executive leadership, develop regional strategies, and drive performance across clinical, financial, and regulatory domains.

The role requires a hands-on, strategic leader who builds high-performing teams, ensures resident care excellence, and delivers sustainable growth in a complex healthcare environment.

Qualifications

• Bachelor's degree in Healthcare Administration or related field required.
• Active LNHA license required.
• Significant leadership experience in skilled nursing or post-acute healthcare operations.

Responsibilities

• Provide executive leadership and oversight for multiple facilities in Central Virginia.
• Develop regional strategies to improve performance and growth.
• Coach and mentor facility Administrators and leadership teams.
• Ensure regulatory compliance and high-quality resident care.
• Oversee financial performance, budgeting, and staffing optimization.
• Collaborate with corporate and regional teams to drive strategic initiatives.

Skills

Executive leadership

Multi-facility operations

Financial oversight

Regulatory compliance

Staff development

Travel willingness

Education

Bachelor's degree in Healthcare Administration or related field

Master's degree in Healthcare Administration or related field (preferred)

Active LNHA license

Job description

Regional Vice President of Operations (RVPO) Healthcare | Skilled Nursing

Location: Central Virginia Region | Richmond, VA
Position Type: Full-Time | Salaried/Exempt
Reports To: Chief Executive Officer (CEO)
Travel: Regional travel required throughout Central Virginia

Lead. Strategize. Transform. Make an Impact.

We are seeking an accomplished, results-driven Regional Vice President of Operations (RVPO) to provide executive leadership and operational oversight for multiple skilled nursing and rehabilitation facilities throughout the Central Virginia region, primarily in the Richmond, VA area.

This is an exceptional opportunity for an experienced healthcare operations leader who thrives on developing strong teams, improving facility performance, strengthening financial outcomes, and maintaining the highest standards of resident care.

As RVPO, you will work closely with facility Administrators, Directors of Nursing, regional support teams, and executive leadership to drive operational excellence, regulatory compliance, financial performance, and sustainable growth.

We are looking for more than someone who can oversee operations. We need a hands-on, strategic leader who can identify challenges, develop solutions, build accountability, and deliver measurable results.

What You'll Do – Key Responsibilities

Regional Operations & Strategic Leadership

• Provide executive leadership and operational oversight for multiple skilled nursing and rehabilitation facilities throughout the Central Virginia region.

• Develop and execute regional strategies that strengthen operational performance, improve resident outcomes, and support organizational growth.

• Lead, coach, mentor, and hold facility Administrators accountable for achieving operational, clinical, and financial goals.

• Maintain a visible, hands-on presence within facilities to identify opportunities, address challenges, and support leadership teams.

• Evaluate facility performance and implement strategic action plans to drive measurable improvements.

• Ensure facilities operate in alignment with organizational policies, procedures, quality standards, and regulatory requirements.

• Serve as the primary liaison between facility leadership and corporate executive leadership.

Financial Performance & Operational Efficiency

• Oversee regional budgets, financial performance, and overall operational profitability.

• Analyze financial statements, operating expenses, revenue trends, and key performance indicators.

• Identify opportunities to increase revenue, improve census, control labor costs, and strengthen financial performance.

• Partner with Finance, Revenue Cycle, and facility leadership to improve collections, reimbursement, and accounts receivable performance.

• Monitor staffing expenses, agency utilization, overtime, and labor productivity.

• Develop and implement strategies to reduce unnecessary agency reliance while maintaining appropriate staffing levels and quality care.

• Establish financial accountability and ensure timely corrective action when performance falls below expectations.

Quality Care & Regulatory Compliance

• Ensure facilities maintain compliance with applicable federal and Virginia healthcare regulations, including CMS requirements.

• Partner with clinical leadership to promote high standards of resident care, safety, satisfaction, and quality outcomes.

• Oversee operational readiness for state surveys, inspections, and regulatory reviews.

• Support facilities in developing and implementing effective plans of correction when necessary.

• Monitor quality indicators, survey outcomes, resident satisfaction, and other performance measures.

• Promote a culture of continuous quality improvement, resident dignity, and regulatory excellence.

Staffing, Recruitment & Workforce Development

• Partner with Human Resources and Talent Acquisition to develop effective recruitment and retention strategies.

• Collaborate with facility leadership to identify staffing challenges and implement sustainable solutions.

• Monitor agency utilization, overtime, staffing patterns, and workforce productivity.

• Support accurate master scheduling and staffing plans based on facility census and operational needs.

• Promote employee engagement, retention, and leadership development.

• Ensure timely communication and decision-making regarding critical staffing needs, leadership vacancies, and operational priorities.

Leadership Development & Accountability

• Recruit, mentor, and develop high-performing facility Administrators and operational leaders.

• Establish clear performance expectations and hold leadership teams accountable for results.

• Build a culture of collaboration, transparency, ownership, and continuous improvement.

• Identify leadership development opportunities and support succession planning.

• Provide guidance and support to facility leadership during operational transitions or performance challenges.

• Recognize and promote successful practices across facilities.

Performance Improvement & Strategic Growth

• Analyze operational data, financial reports, staffing trends, and quality metrics to identify areas for improvement.

• Develop and execute action plans to improve facility performance and operational efficiency.

• Drive initiatives that strengthen census development, referral relationships, and market competitiveness.

• Monitor progress toward regional goals and ensure sustainable results.

• Identify best practices and implement successful strategies throughout the region.

• Partner with executive leadership on strategic initiatives, operational improvements, and growth opportunities.

Collaboration & Executive Partnership

• Work closely with clinical leadership, Finance, Human Resources, Talent Acquisition, Revenue Cycle, and other corporate support teams.

• Maintain effective communication between facilities, regional leadership, and executive leadership.

• Build positive relationships with residents, families, healthcare partners, and community stakeholders.

• Provide regular updates regarding facility performance, challenges, opportunities, and strategic priorities.

• Address escalated operational concerns promptly and ensure appropriate follow-through.

What We're Looking For – Qualifications

Education

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field required.

• Master's degree in Healthcare Administration, Business Administration, or a related field preferred.

• Active Nursing Home Administrator (LNHA) license required.

Experience & Skills

• Significant leadership experience in skilled nursing, long-term care, or post-acute healthcare operations required.

• Multi-facility or regional skilled nursing operations experience strongly preferred.

• Proven success overseeing facility operations, financial performance, regulatory compliance, and quality improvement.

• Strong understanding of Virginia skilled nursing regulations, CMS requirements, and state survey processes.

• Demonstrated ability to develop and lead facility Administrators and senior leadership teams.

• Strong financial acumen, including budgeting, labor management, census development, and revenue cycle oversight.

• Experience implementing strategies to reduce agency utilization, improve staffing efficiency, and strengthen employee retention.

• Proven ability to identify underperforming operations and implement sustainable improvement plans.

• Excellent communication, problem-solving, organizational, and decision-making skills.

• Ability to manage competing priorities while maintaining a strong focus on quality resident care.

• Must be willing and able to travel regularly throughout the Central Virginia region.

The Leader We're Looking For

We are seeking a visible, engaged, strategic, and highly accountable executive leader who understands the complexities of skilled nursing operations.

The ideal candidate is someone who:

• Leads from the front: Maintains an active presence in facilities and supports leadership teams through challenges.

• Drives Results: Uses data, operational metrics, and financial performance indicators to guide decisions.

• Develops Leaders: Coaches Administrators and department leaders to build strong, accountable teams.

• Prioritizes Quality: Understands that exceptional resident care and regulatory compliance are essential to long-term success.

• Takes Ownership: Identifies problems, develops solutions, and follows through until measurable improvement is achieved.

• Builds Partnerships: Works collaboratively with clinical, operational, and corporate teams to achieve shared goals.

• Thinks Strategically: Balances immediate operational needs with long-term organizational growth and sustainability.

Successful regional leadership requires the ability to balance People, Quality, Operations, and Financial Performance — and we are looking for someone who excels in all four.

Why Join Our Team?

As the Regional Vice President of Operations for Central Virginia, you will have the opportunity to make a meaningful impact across multiple skilled nursing and rehabilitation facilities.

This position offers the opportunity to:

• Lead and influence operational performance across the Richmond and Central Virginia market.

• Partner directly with executive leadership on strategic initiatives.

• Develop and mentor facility Administrators and operational leaders.

• Drive meaningful improvements in resident care, staffing, financial performance, and organizational effectiveness.

• Help shape the future success of our skilled nursing and rehabilitation facilities.

Ready to Lead the Central Virginia Region?

Regional Vice President of Operations – Central Virginia (Richmond, VA)

Equal Opportunity Employer

We are committed to maintaining a diverse and inclusive workplace. We are an Equal Opportunity Employer and do not discriminate in recruiting, hiring, or employment based on any legally protected status.