Regional Vice President of Operations

Hill Valley Healthcare Corporate•Richmond, VA

3d•Onsite

About The Position

The Regional Vice President of Operations (RVPO) provides executive leadership and operational oversight for multiple skilled nursing and rehabilitation facilities throughout Central Virginia, primarily in the Richmond, Virginia area. The RVPO works closely with facility Administrators, Directors of Nursing, regional support teams, and executive leadership to promote operational excellence, regulatory compliance, financial performance, resident care, and sustainable growth. The role requires a visible, hands-on strategic leader who identifies challenges, develops solutions, builds accountability, and delivers measurable results. The RVPO oversees regional operations and strategy, facility budgets and profitability, quality care and regulatory compliance, staffing and workforce development, leadership development, performance improvement, and strategic growth. The position partners with corporate functions including Clinical Leadership, Finance, Human Resources, Talent Acquisition, and Revenue Cycle, and serves as the primary liaison between facility leadership and executive leadership. Regional travel throughout Central Virginia is required.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
Active Nursing Home Administrator (LNHA) license.
Significant leadership experience in skilled nursing, long-term care, or post-acute healthcare operations.
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.
Willingness and ability to travel regularly throughout the Central Virginia region.

Nice To Haves

Master's degree in Healthcare Administration, Business Administration, or a related field.
Multi-facility or regional skilled nursing operations experience.

Responsibilities

Provide executive leadership and operational oversight for multiple skilled nursing and rehabilitation facilities in Central Virginia.
Develop and execute regional strategies to improve operational performance, resident outcomes, and organizational growth.
Lead, coach, mentor, and hold facility Administrators accountable for operational, clinical, and financial goals.
Maintain a visible, hands-on presence in facilities to identify opportunities, address challenges, and support leadership teams.
Evaluate facility performance and implement action plans to achieve measurable improvements.
Ensure facilities follow organizational policies, procedures, quality standards, and regulatory requirements.
Serve as the primary liaison between facility leadership and corporate executive leadership.
Oversee regional budgets, financial performance, and operational profitability; analyze financial statements, expenses, revenue trends, and performance indicators.
Identify opportunities to increase revenue and census, control labor costs, improve collections and reimbursement, and strengthen accounts receivable performance.
Monitor staffing expenses, agency utilization, overtime, and labor productivity; develop strategies to reduce unnecessary agency reliance while maintaining appropriate staffing and quality care.
Establish financial accountability and ensure timely corrective action when results fall below expectations.
Promote high standards of resident care, safety, satisfaction, and quality outcomes in partnership with clinical leadership.
Oversee operational readiness for state surveys, inspections, and regulatory reviews, and support plans of correction when needed.
Monitor quality indicators, survey outcomes, resident satisfaction, and other performance measures; promote continuous quality improvement and regulatory excellence.
Partner with Human Resources and Talent Acquisition on recruitment and retention strategies, and work with facility leaders to address staffing challenges.
Support accurate master scheduling and staffing plans based on census and operational needs; promote employee engagement, retention, and leadership development.
Recruit, mentor, and develop facility Administrators and operational leaders; establish performance expectations and support succession planning.
Build a culture of collaboration, transparency, ownership, accountability, and continuous improvement.
Analyze operational data, financial reports, staffing trends, and quality metrics; develop and execute plans to improve performance and efficiency.
Drive census development, referral relationships, market competitiveness, and implementation of successful practices across facilities.
Partner with executive leadership on strategic initiatives, operational improvements, and growth opportunities.
Maintain effective communication among facilities, regional leadership, and executive leadership; provide regular updates on performance, challenges, opportunities, and priorities.
Build relationships with residents, families, healthcare partners, and community stakeholders; promptly address escalated operational concerns and ensure follow-through.