Director of Operations In Training

POSITION SUMMARY:

The Director of Operations in Training (DOO-IT) is an emerging leader who will undergo a structured training program to prepare for a full Director of Operations role within Skilled Nursing and Long-Term Care (LTC). The DOO-IT will learn how to oversee multiple SNF facilities, support facility administrators, ensure compliance with CMS regulations, drive quality outcomes, and promote operational excellence. The role combines hands-on facility experience, leadership coaching, and exposure to organizational strategic initiatives.

Essential Responsibilities And Duties

Operational Leadership & Training

• Shadow experienced Directors of Operations and Administrators (NHA/EDs) across multiple facilities.
• Participate in a formal training program to learn SNF/LTC operations, state regulations, census development, staffing models, and reimbursement.
• Assist with daily oversight of staffing levels, scheduling, workflow processes, and operational efficiencies of facilities assigned.
• Learn to support administrators in managing survey readiness, resident satisfaction, and workforce engagement.
• Support implementation of corporate policies, procedures, and operational initiatives.
  
  
  

Regulatory & Compliance

• Receive specialized training in:
• CMS Requirements of Participation
• State Department of Health regulations
• Survey processes (annual surveys, complaint surveys, revisits)
• Life Safety Code compliance
• QAPI (Quality Assurance & Performance Improvement)
• Participate in mock surveys, audit reviews, infection control rounds, and regulatory preparedness activities.
• Help facilities implement corrective action plans following state or federal deficiencies.
  
  
  

Quality & Clinical Support

• Learn quality metrics including falls, pressure injuries, infection rates, rehospitalizations, antipsychotic monitoring, and regulatory star ratings.
• Assist with monitoring facility QAPI plans and reporting requirements.
• Partner with clinical leaders to support strong resident outcomes, compliance, and risk mitigation.
• Participate in clinical meetings, care plan meetings, and IDT rounds to understand resident care processes.
  
  
  

Financial & Reimbursement Management

• Train in financial operations including budgeting, labor management, cost control, and revenue optimization.
• Review facility financial performance, including PPD (per patient day), census mix, managed care utilization, and reimbursement trends.
• Learn the fundamentals of Medicare Part A, Medicaid, Managed Care, PDPM, and value-based purchasing.
• Assist with identifying opportunities to improve operational margin while maintaining quality care.
  
  
  

Workforce & Culture Development

• Learn best practices in talent development, retention, staffing coordination, and labor management specific to long-term care staffing challenges.
• Support workforce engagement programs, recognition initiatives, and staff development efforts.
• Assist administrators in coaching department heads and frontline staff to improve performance.
  
  
  

Customer Experience & Community Relations

• Participate in resident rounds, family engagement meetings, and satisfaction improvement initiatives.
• Support escalations concerning resident or family concerns under the guidance of the DOO.
• Learn to represent the organization professionally with hospitals, referral partners, community agencies, and regulatory bodies.
  
  
  

Project & Change Management

• Support operational rollouts such as new clinical programs, technology implementations, policy updates, or system conversions.
• Track progress on operational projects and provide feedback to leadership.
• Assist with integration of newly acquired or transitioning SNF facilities.
  
  
  

Qualifications

Education and Experience

• Desire to work with senior population and those with illnesses and disabilities.
• Strong ability to build relationships with residents, family and staff
• Strong in areas of empathy, compassion, adaptability, listening and being an advocate for residents
• Administrator for a least 5 years
  
  
  

Preferred

• Experience in healthcare, skilled nursing facility or assisted living community
  
  
  

Required Skills And Abilities

• Ability to effectively manage multiple tasks and pivot with sudden demands of your attention
• Resilience; ability to welcome constructive feedback, course correct and not take it personally
• Personability; ability to get along with all personality types and inspire trust with residents, staff, family
• High emotional intelligence (EQ)
• Ability to actively listen, with the goal of understanding
• Ability to clearly speak and proficiently read and write in English
• Comfort in operating in ambiguous situations and with diverse populations
• Ability to thrive in an environment that is fast-paced and rapidly growing
  
  
  

About Monarch:

Monarch Healthcare Management is a Minnesota based company that is changing the way short-term rehabilitation, long-term care, and assisted living services are delivered. Our employees embody our motto, Where CARE and CUSTOMER SERVICE Come Together, by always putting the needs of residents and families first across Monarch's network of 60 skilled nursing and assisted living facilities in Minnesota.

We are an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.