Executive Director Administrator LTC/SNF

The Administrator / Executive Director directs the day-to-day operations of Everett Transitional Care Services (ETCS), in compliance with applicable federal, state, and local regulations governing long-term care. This leader is accountable for clinical excellence, financial performance, regulatory compliance, and a community culture rooted in Bethany’s core values. The Administrator acts with full delegated administrative authority, responsibility, and accountability for the facility.

Pay Range: $150,000-175.000 per annum DOE

Benefits available:

• Medical, Dental, Vision insurance
• Life Insurance and short-term disability coverage
• 403b and 403b matching.
• EAP Employee assistance program
• Low staffing ratios
• Local commute
• Flexible spending account
• Paid Sick leave
• Paid time off
• 7 Paid holidays plus one personal of your choice
• Longevity bonuses
• Referral program
• Tuition reimbursement
• The Perks at Work program employee discounts

This description is not exhaustive. Additional duties reasonably related to the role may be assigned.

Leadership & Operations

• Plan, organize, implement, and evaluate facility programs and activities consistent with ETCS’s mission and values.
• Develop, maintain, and enforce written policies and procedures governing facility operations.
• Foster a culture of teamwork, open communication, and positive human relations across all departments.
• Represent ETCS at Board meetings and with external agencies, including government bodies and third-party payers.
• Maintain an effective public relations program serving residents, families, and the broader community.
• Designate a qualified designee to act in the Administrator’s absence.

Regulatory & Quality Compliance

• Ensure all operations conform to federal, state, and local long-term care regulations (including WAC requirements).
• Develop and submit plans of correction for survey deficiencies; provide copies to governing and regulatory bodies as required.
• Implement a robust QAPI (Quality Assurance and Performance Improvement) program using root-cause analysis methodologies.
• Maintain all required financial records and cost reports for government agencies.

Human Resources

• Oversee recruitment, selection, onboarding, and termination of personnel in partnership with the management organization.
• Ensure adequate staffing levels to meet resident care needs at all times.
• Conduct or participate in regular management, departmental, and supervisory meetings.
• Maintain compliance with equal opportunity employment, OSHA/WISHA, and all applicable employment laws.

Financial Management

• Develop and manage the annual operating budget in conjunction with the governing board and management organization.
• Review monthly financial statements and adjust operations as necessary to sustain financial viability.
• Monitor and manage Per Patient Day (PPD) costs, staffing ratios, and supply utilization.

Staff Development

• Support planning and delivery of orientation, on-the-job training, and in-service education programs.
• Participate in professional development activities to remain current with long-term care trends and best practices.

Environment & Safety

• Ensure all staff, residents, and visitors adhere to safety regulations, including fire prevention, infection control, and sanitation standards.
• Maintain facility units and equipment in good repair.

Education

• Bachelor’s degree required. A degree in Public Health Administration, Business Administration, or a health-related field is preferred.

Licensure

• Current, unencumbered Nursing Home Administrator (NHA) license in the State of Washington is required.

Experience

• Minimum three (3) years of experience as a licensed Nursing Home Administrator, or equivalent leadership experience in a hospital or long-term care setting.

Knowledge, Skills & Abilities

• Demonstrated ability to lead, motivate, and develop a diverse clinical and support services team.
• Strong financial acumen, including budget development, analysis, and cost management.
• Excellent written and verbal communication skills; ability to interpret regulatory documents, financial reports, and legal materials.
• Proficient in Microsoft Office; ability to learn EMR, payroll, and data management systems.
• Knowledge of managed care contracting, QAPI methodologies, and long-term care regulations.
• Commitment to Bethany’s core values: Integrity, Compassion, Respect, Excellence, and Stewardship.

All ETCS employees are expected to consistently demonstrate the following values in their work:

Integrity  —  Act honestly and ethically at all times, even when unobserved.

Compassion  —  Listen actively, respond with empathy, and support those in need.

Respect  —  Honor the dignity and individuality of every resident, colleague, and visitor.

Excellence  —  Pursue the highest standard of care and professional performance.

Stewardship  —  Use organizational resources responsibly and with resident welfare in mind.

Mission: Bethany is committed to serving the physical, emotional, mental, and spiritual needs of individuals in a loving, caring, and uniquely tailored setting, striving to maximize quality of life with dignity, respect, and the highest degree of individual autonomy.

Vision: To be the premier sub-acute healthcare provider in the nation and employer of choice.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Salary : $150,000 - $175,000