Assistant Executive Director - LNFA (22238)

Cantex Continuing Care Network•San Antonio, TX

3d•Onsite

About The Position

The Assistant Executive Director supports the Executive Director in the overall leadership and daily operations of the Skilled Nursing Facility (SNF). This role helps ensure regulatory compliance, strong financial performance, high‑quality resident care, and effective departmental coordination. The Assistant Executive Director plays a key role in census development, staff leadership, survey readiness, and maintaining a safe, efficient, and resident‑centered environment. This position is ideal for a licensed Nursing Home Administrator seeking growth into a full Executive Director role.

Requirements

Current and valid state Licensed Nursing Home Administrator (LNHA/NHA) license
Minimum of one year of supervisory experience in a long‑term care setting
Strong knowledge of state and federal long‑term care regulations
Demonstrated leadership skills with the ability to communicate, direct, and delegate effectively
Excellent organizational, interpersonal, and critical‑thinking skills
Ability to read, write, and speak the English language

Nice To Haves

BS/BA degree in healthcare administration or related field preferred (or equivalent experience)

Responsibilities

Assure facility compliance with all applicable federal, state, and local regulations
Direct and ensure implementation of written policies and procedures, including Cantex Policies, RCMS, and FMS
Maintain survey readiness and support the Executive Director during regulatory visits
Ensure compliance with the Patients’ Bill of Rights
Make routine rounds to ensure high‑quality resident care, safe and sanitary conditions, and effective departmental operations
Oversee recruitment, selection, and training of department supervisors and ancillary staff
Conduct daily stand‑up meetings and weekly department supervisor meetings
Authorize purchases of equipment and supplies in accordance with company procedures
Ensure physical assets, equipment, and supply inventories are maintained appropriately
Assist in preparation of the annual operating budget
Support achievement of budgeted earnings expectations
Maintain accurate financial records and ensure timely submission of required reports
Develop, establish, and maintain patient census at optimal levels
Ensure implementation of therapeutic, recreational, and rehabilitative programs
Ensure nutritional needs and ancillary services are appropriately provided
Maintain timely and accurate documentation for Medicaid/Title XIX/Medicare and other reimbursement programs
Represent the facility in dealings with governmental agencies, vendors, and community partners
Maintain an effective community relations program that supports facility visibility and reputation
Ensure RCMS and FMS Quality Assurance Committee meetings are held monthly
Support ongoing quality improvement initiatives across all departments