Adult Day Center Director (RN/LPN), Louisville, KY

About the job

Company Description

Freedom Senior Services is a leading provider of Medicaid-focused Home and Community-Based Services (HCBS), passionately committed to empowering aging adults and individuals with disabilities to maintain their independence. With over 20 locations across Kentucky, Indiana, Ohio, Pennsylvania, and Tennessee, Freedom Senior Services offers a range of services, including Personal Home Care, Adult Day Healthcare, IDD Services, and Veterans Services. Our diverse and culturally competent caregiver workforce ensures personalized, high-quality care that is compliant with state and federal regulations. Through strong partnerships with state Medicaid agencies and managed care organizations (MCOs), we are dedicated to being the most trusted name in Medicaid-focused care.

Role Description

The Adult Day Center Director (ADHC Administrator) is a full-time, on-site position based in Louisville, Kentucky, responsible for the complete operation of a Freedom Adult Day center. As Center Director, you will lead a stand-alone, census-driven center that delivers nursing and activities of daily living (ADL) support, structured daily programming, dietary services, and transportation to Medicaid waiver participants. You will own the clinical, programmatic, and facility operations of the center, supervise a multidisciplinary site team, and protect the safety, dignity, and individualized choice of every participant in your care.

This role sits within Freedom's decoupled Adult Day Healthcare operating model, in which each center is managed as a stand-alone unit and supported by the Support Center for compliance, quality, HR, and analytics. You will hold the operational accountability for census, regulatory compliance, and quality at your center, and you will partner closely with Attendant Care Managers and Community Outreach leaders to grow and integrate participant care.

What You Will Do

• Plan, manage, and direct all daily operations of the adult day center, including nursing and ADL services, daily activities programming, dietary and meal service, transportation, and facility upkeep.
• Manage center census as the primary operating metric. Partner with Community Outreach, hospital discharge planners, Area Agencies on Aging, and MCO care coordinators to drive enrollment and maintain target average daily attendance.
• Oversee the nursing team (RN, LPN, CNA), including medication oversight, dietary plans, incident reporting, and the assessment and review of each participant's care environment to assure safety and individualized choice under federal and state guidelines and company policy.
• Right-size center staffing to current census and maintain consistent staffing ratios and organizational structure per company standards.
• Manage the financial operations of the center, including Medicaid billing accuracy, reimbursement integrity, and the center operating budget. Monitor census, attendance, and cost drivers to protect the financial performance of the center.
• Direct the participant intake and admission process, including review of admission documentation and coordination of care plans with case managers and the Support Center.
• Develop, implement, and monitor individualized participant service and activity plans that reflect the cultural background, language, and choice of each participant.
• Lead family events, engagement, and cultural programming that reflect the communities Freedom serves.
• Facilitate the investigation and review of any grievance or complaint regarding care or services, and investigate, follow up on, and address all center incident reports.
• Maintain regulatory and licensure compliance for the center, including Kentucky Office of Inspector General (OIG) licensure, Certificate of Need (CON) requirements, state Adult Day Healthcare regulations, and documentation standards. Support quarterly supervisory reviews coordinated centrally by Compliance and Quality.
• Recruit, onboard, educate, and supervise center staff in partnership with Support Center Human Resources.
• Maintain a collaborative partnership with Attendant Care Managers to coordinate care for shared participants across the home care and day center service lines.
• Manage transportation, dietary and kitchen, waste, cleaning, and general facility operations to keep the center safe, clean, and fully operational.
• Track and report center key performance indicators, including census, attendance, EVV compliance where applicable, and quality metrics.

Qualifications

• Required: Active Kentucky license as an RN or LPN strongly preferred. Candidates with an active Kentucky LCSW, CSW/LSW, LPCC, or LMFT license and strong clinical operations experience will also be considered.
• Required: Minimum of 2 years of management experience directing an Adult Day Center, or equivalent management experience directing a Skilled Nursing Center or comparable licensed care setting serving seniors and/or individuals with intellectual and developmental disabilities (IDD).
• Strong understanding of adult day healthcare and home and community-based services regulatory compliance, Medicaid waiver services, and care coordination standards.
• Working knowledge of Certificate of Need (CON) and Kentucky OIG licensure requirements for adult day healthcare is preferred.
• Experience serving seniors with dementia, cognitive decline, or complex chronic conditions, and a background in gerontology or geriatric care, is preferred.
• Proficiency in electronic health records (EHR) systems and healthcare documentation.
• Demonstrated ability to manage a census-driven operation, including enrollment, attendance, and utilization.
• Leadership and team management skills, including the ability to supervise a diverse, multidisciplinary site team of clinical, activities, transportation, and dietary staff.
• Experience in planning, implementing, and monitoring care and activity plans to ensure high-quality service delivery.
• Excellent communication and interpersonal skills for engaging with participants, families, staff, case managers, and community partners.
• Administrative abilities such as scheduling, documentation, budget awareness, and training coordination.
• Proficient with the Microsoft Office Suite.
• Ability to work effectively in a culturally diverse environment, with sensitivity to various languages and cultures.
• Bilingual ability in a language spoken by the communities Freedom serves (for example Nepali, Arabic, Swahili, Burmese, or Spanish) is preferred, not required.
• Current valid driver's license and reliable transportation.

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person