Regional Director Of Operations

HRW Companies, LLC•Hannibal, MO

About The Position

The Regional Director of Operations provides leadership and oversight for facilities within the assigned region, ensuring quality resident care, regulatory compliance, financial performance, and operational efficiency. The role develops facility administrators, promotes a positive workplace culture, and holds leaders accountable for achieving facility, regional, and Company goals. The position oversees regional and facility operations, administrator development, compliance and quality, staffing, financial management, and the state Personal Care program. It collaborates with regional and executive leadership and departments including Nursing, Human Resources, and the Referral Department. The Regional Director participates in management and facility leadership meetings, provides monthly performance reports, supports operational coverage and emergency needs, and travels throughout the region, with occasional overnight stays.

Requirements

  • Current, active, and unrestricted Missouri Nursing Home Administrator (LNHA) license, mandatory for employment and required to remain in good standing throughout employment.
  • At least three years of actual experience serving as a licensed Nursing Home Administrator.
  • Three to five years of progressive leadership experience in long-term care, residential care, assisted living, or related healthcare operations.
  • Extensive knowledge of Missouri DHSS regulations governing Residential Care Facilities, including RCF I and RCF II requirements, as applicable.
  • Demonstrated experience with regulatory surveys, Plans of Correction, financial oversight, staffing management, and quality assurance.
  • Strong understanding of budgeting, accounts receivable, census management, labor costs, and operational profitability.
  • Proven ability to supervise, mentor, and hold facility administrators accountable.
  • Excellent leadership, communication, organizational, decision-making, and problem-solving skills.
  • Proficiency in Microsoft Office, electronic reporting systems, and relevant business software.
  • Valid driver’s license and reliable transportation.
  • Ability to travel regularly throughout assigned facilities and respond to urgent operational needs.

Nice To Haves

  • Previous multi-facility or regional operations management experience is strongly preferred.

Responsibilities

  • Establish goals, communicate expectations, monitor results, and guide facility leaders in resolving challenges and implementing Company initiatives.
  • Conduct regular facility visits and audits, evaluate operational performance, and ensure corrective action plans are completed.
  • Monitor adherence to Company policies, ethical standards, and applicable laws and regulations; collaborate with the Regional Nurse on clinical compliance and resident care practices.
  • Recruit, select, train, coach, and evaluate facility administrators; address performance concerns and implement disciplinary action when necessary.
  • Support recruitment, retention, employee engagement, customer service, and team development while helping administrators maintain positive, accountable work environments.
  • Assist with budget development, monitor fiscal performance, safeguard physical and financial assets, and ensure timely, cost-effective purchasing of essential supplies.
  • Support implementation and accurate administration of the state Personal Care program to meet resident needs and appropriately use available funding.
  • Collaborate with regional and executive leadership, Nursing, Human Resources, and the Referral Department to develop action plans and achieve organizational goals.
  • Participate in weekly Management Office meetings and facility leadership meetings.
  • Provide monthly performance reports and communicate audit findings, operational concerns, and progress to executive leadership and ownership.
  • Provide on-call guidance, coordinate administrator coverage during absences or vacancies, and serve as interim administrator when appropriate or arrange interim leadership.
  • Travel daily throughout the assigned region, with occasional overnight stays, and perform other duties assigned by executive leadership and ownership.
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