Strategic CNO: Multi-State Skilled Nursing Leader

Legacy Healthcare; United States; On-site; USD 180,000 - 300,000; Full time

Benefits offered by this job

Competitive base salary

Annual performance bonus

Medical, dental, and vision insurance

401(k) with company match

Paid time off and holidays

Executive leadership development

Job summary

Legacy Healthcare seeks a visionary Chief Nursing Officer (CNO) to lead nursing and clinical operations across its expanding portfolio of skilled nursing facilities and post-acute care sites in multiple states. This executive role shapes clinical strategy, mentors leaders, and drives quality outcomes while ensuring regulatory readiness.

The CNO will oversee regional directors, implement organization-wide clinical programs, and partner with cross-functional teams to enhance resident care, reduce

Qualifications

• Active Registered Nurse license in good standing.
• BSN required.
• Minimum of 10 years of progressive nursing leadership experience.
• At least 5 years of executive or regional leadership experience in Skilled Nursing, Long-Term Care, or Post-Acute Care.
• Experience overseeing multiple facilities and leading geographically dispersed clinical teams.
• Extensive knowledge of CMS regulations, survey processes, quality measures, reimbursement, and skilled nursing operations.
• Demonstrated success improving clinical outcomes, regulatory compliance, and nursing team performance.

Responsibilities

• Provide executive leadership for nursing and clinical operations across a multi-state portfolio of skilled nursing facilities.
• Lead and mentor Regional Clinical Directors, Directors of Nursing, and other clinical leaders.
• Develop and implement organization-wide clinical strategies that improve quality outcomes and resident satisfaction.
• Ensure CMS, state, and federal regulation compliance while maintaining survey readiness across facilities.
• Drive improvements in Five-Star Quality Ratings, infection prevention, and rehospitalization rates.
• Partner with Operations, Finance, HR, and leadership to improve clinical performance and growth.
• Standardize clinical best practices while supporting facilities' unique needs.
• Lead QAPI initiatives and supplier integration where applicable.
• Support acquisitions, new facility integrations, and organizational expansion.

Skills

RN license

Leadership development

Quality improvement

Regulatory knowledge

Regulatory compliance

CMS familiarity

Cross-functional collaboration

Strategic thinking

Education

BSN

Master's degree in Nursing or Healthcare Administration

Executive nursing certification (NE-BC, CENP)

Job description

Legacy Healthcare seeks a visionary Chief Nursing Officer (CNO) to lead nursing and clinical operations across its expanding portfolio of skilled nursing facilities and post-acute care sites in multiple states. This executive role shapes clinical strategy, mentors leaders, and drives quality outcomes while ensuring regulatory readiness.

The CNO will oversee regional directors, implement organization-wide clinical programs, and partner with cross-functional teams to enhance resident care, reduce