Assistant Executive Director - LNFA (22238)

Location: 11106 Christus Hills San Antonio, TX 78251-3584

Schedule: Full‑time, exempt role

Reports to: Executive Director

What We Offer You

• Competitive pay

• Performance‑based bonus opportunities

• Comprehensive health, dental, and vision insurance

• Additional supplemental benefits (life insurance, disability, accident, etc.)

• 401(k) with company match

• Generous paid time off (PTO/Sick)

• Clear career growth and advancement opportunities

• A supportive and vibrant company culture

• Many more employee perks and benefits

Job Summary

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.

Qualifications

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

Essential Functions

• Regulatory Compliance & Survey Readiness
  • 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

• Operational Leadership & Facility Oversight
  • 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

• Financial & Census Management
  • 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

• Resident Services & Program Oversight
  • 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

• Community Relations & External Partnerships
  • Represent the facility in dealings with governmental agencies, vendors, and community partners
  • Maintain an effective community relations program that supports facility visibility and reputation

• Quality Assurance & Committee Participation
  • Ensure RCMS and FMS Quality Assurance Committee meetings are held monthly
  • Support ongoing quality improvement initiatives across all departments

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.