Job Description

Regional Director of Operations — HRW Companies, LLC

The Regional Director of Operations provides leadership and oversight for facilities within the assigned region, ensuring quality resident care, regulatory compliance, financial performance, and operational efficiency. This position develops facility administrators, promotes a positive workplace culture, and holds leaders accountable for achieving facility, regional, and Company goals.

Key Duties and Responsibilities

• Regional Leadership: Establish clear goals, communicate expectations, monitor results, and guide facility leaders in resolving challenges and implementing Company initiatives.
• Facility Oversight: Conduct regular facility visits and audits, evaluate operational performance, and ensure corrective action plans are completed.
• Compliance and Quality: Monitor adherence to Company policies, ethical standards, and applicable laws and regulations. Collaborate with the Regional Nurse to support clinical compliance and resident care practices.
• Administrator Development: Recruit, select, train, coach, and evaluate facility administrators. Address performance concerns and implement disciplinary action when necessary.
• Staffing and Workplace Culture: Support recruitment, retention, employee engagement, customer service, and team development while ensuring administrators maintain a positive, accountable work environment.
• Financial Management: Assist with budget development, monitor fiscal performance, safeguard physical and financial assets, and ensure timely, cost-effective purchasing of essential supplies.
• Personal Care Program Oversight: Support implementation and accurate administration of the state Personal Care program to meet resident needs and appropriately utilize available funding.
• Strategic Collaboration: Work with regional and executive leadership, Nursing, Human Resources, and the Referral Department to develop action plans and achieve organizational goals.
• Communication and Reporting: Participate in weekly Management Office meetings and facility leadership meetings. Provide monthly performance reports and communicate audit findings, operational concerns, and progress to executive leadership and ownership.
• Operational Coverage and Emergency Support: Provide on-call guidance, coordinate administrator coverage during absences or vacancies, and serve as interim administrator when appropriate or arrange interim leadership.
• Travel and Additional Assignments: Travel daily throughout the assigned region, with occasional overnight stays, and perform other duties assigned by executive leadership and ownership.

Required Qualifications

• Must possess a current, active, and unrestricted Missouri Nursing Home Administrator (LNHA) license. This is a mandatory requirement for employment.
• Must maintain Missouri Nursing Home Administrator licensure in good standing throughout employment.
• Minimum of three years of actual experience serving as a licensed Nursing Home Administrator.
• Minimum of 3–5 years of progressive leadership experience in long-term care, residential care, assisted living, or related healthcare operations.
• Previous multi-facility or regional operations management experience strongly preferred.
• Extensive knowledge of Missouri DHSS regulations governing Residential Care Facilities, including RCF I and RCF II requirements, as applicable.
• Demonstrated experience with regulatory surveys, Plans of Correction, financial oversight, staffing management, and quality assurance.
• Strong understanding of budgeting, accounts receivable, census management, labor costs, and operational profitability.
• Proven ability to supervise, mentor, and hold facility Administrators accountable.
• Excellent leadership, communication, organizational, decision-making, and problem-solving skills.
• Proficiency in Microsoft Office, electronic reporting systems, and relevant business software.
• Valid driver’s license and reliable transportation.
• Ability to travel regularly throughout assigned facilities and respond to urgent operational needs.