Executive Director / Nursing Home Administrator

Company: GHR Healthcare
Location: Wilmington
Posted on: January 5, 2026

Job Description:

Job Description Executive Director / Nursing Home Administrator (NHA) We are seeking an experienced Executive Director / Nursing Home Administrator (NHA) to lead a not-for-profit skilled nursing and rehabilitation facility. This is a senior leadership opportunity for a strategic, financially astute administrator who is passionate about resident-centered care and organizational growth. Reporting directly to the Board of Trustees , the Executive Director will provide visionary leadership while ensuring operational excellence, regulatory compliance, and financial stewardship. This is an exceptional opportunity for a values-based leader who thrives in collaborative environments and is motivated by purpose as much as performance. Key Responsibilities Leadership & Organizational Management Provide strategic leadership aligned with the organization’s mission and values Lead, mentor, and evaluate department heads and senior staff Foster a collaborative, ethical, and resident-focused culture Drive continuous quality improvement and resident satisfaction Oversee recruitment, retention, and workforce planning Ensure appropriate staffing levels and regulatory compliance Regulatory Compliance & Risk Management Ensure compliance with all federal, state, and local long-term care regulations (CMS, state licensing, OSHA) Lead survey readiness efforts and manage regulatory inspections and audits Oversee risk management, incident reporting, and safety initiatives Financial Oversight & Operational Performance Develop and manage the annual operating budget Oversee financial reporting, cost controls, and revenue cycle performance Improve payer mix with a focus on increasing Medicare census Manage productivity metrics, reduce overtime, and improve PPD performance Collaborate with the Board on long-term financial sustainability Resident Care & Services Ensure delivery of high-quality, person-centered care across all service lines Support interdisciplinary care planning and individualized resident experiences Address resident and family concerns with professionalism and compassion Community Engagement & Board Relations Serve as the organization’s ambassador to community partners and stakeholders Support fundraising and community outreach initiatives Provide regular operational, financial, and quality reports to the Board Participate in board meetings, committees, and strategic planning efforts Compensation: $155,000 – $180,000/yr (Depending on experience) Performance-based bonus up to $10,000 Generous benefits package including over 5 weeks of paid time off Qualifications Required Bachelor’s degree in Healthcare Administration, Business, or related field Current Nursing Home Administrator (NHA) license (or eligible and willing to obtain) Minimum of 3–5 years of experience as a licensed Nursing Home Administrator Strong knowledge of long-term care operations and CMS regulations Demonstrated financial management and budgeting experience Preferred Master’s degree (MHA, MBA, MPH, or related) Experience in a not-for-profit long-term care environment Proven success improving payer mix and operational efficiency Familiarity with person-centered care and culture-change models This role is ideal for a seasoned administrator seeking to make a meaningful impact while leading a mission-driven organization positioned for long-term success! ghrsearch25

Keywords: GHR Healthcare, Pasadena , Executive Director / Nursing Home Administrator, Healthcare , Wilmington, California