Licensed Nursing Facility Administrator (LNFA)
West Janisch HealthcareWest Janisch Health Care Center – Houston, TX
Full-Time | Skilled Nursing Facility
Lead a 5-Star Team. Drive Care and Financial Excellence.
West Janisch Health Care Center is seeking a results-driven Administrator (LNFA) to steward clinical quality, operational performance, census growth, and financial outcomes—while cultivating a mission-driven, resident-first culture.
You’ll own the building’s overall performance: clinical outcomes, regulatory compliance, Medicare/Medicaid reimbursement and revenue cycle, census growth & marketing, workforce engagement, and bottom-line results. You partner closely with Nursing, MDS/RAI, Therapy, Admissions/Marketing, Dietary, Social Services, Business Office, and Regional support.
Key Responsibilities:Strategy, Leadership & CultureSet the vision, goals, and KPIs; model a culture of accountability, compassion, and continuous improvement.
Lead daily/weekly huddles (clinical, admissions, labor, revenue) and ensure cross-department execution.
Ensure continuous survey readiness and compliance with CMS RoPs, Life Safety, OSHA, and state regulations.
Drive quality programs (falls, wounds, infections, readmissions) and Five-Star/QM improvement; support infection-prevention, antibiotic stewardship, and risk management.
Lead PDPM optimization through accurate assessment timing (ARDs), ICD-10 coding, clinical documentation, and care pathways with MDS/RAI, Therapy, and Nursing.
Oversee Triple Check and pre-bill reviews; ensure clean claims (UB-04), correct modifiers/occurrence codes, and timely submission.
Manage Medicaid (including Texas QIPP participation/attestation and measure performance), Medicaid eligibility, and pending conversions.
Direct Managed Care/Medicare Advantage authorization workflows (initial, concurrent, LOS management), and denial prevention/appeals.
Own revenue cycle KPIs: CMI/PDPM case mix, DSO/AR days, cash collections, write-offs/bad debt, payer mix, and ancillary capture.
Build and maintain relationships with hospitals/ACOs, case managers, physicians, SNFists, home health & hospice, and community partners.
Lead field outreach and in-hospital rounding, respond to referrals promptly, and coordinate fast, safe admissions.
Manage the pipeline: inquiry → admission conversion rate, average LOS, payer mix, and occupancy targets; leverage a CRM and weekly referral source reviews.
Partner with clinical leadership to reduce RTH (return-to-hospital) and improve VBP-related metrics.
Own the P&L and budget; manage labor (HPPD), agency use, supplies/PPD, food/PPD, and contract services.
Review weekly flash and monthly financials; correct variances with clear action plans.
Ensure safe staffing, schedule integrity, and retention initiatives; drive engagement and reduce turnover.
Recruit, develop, and evaluate department leaders; provide coaching, recognition, and corrective actions when needed.
Maintain strong resident/family communication; resolve grievances quickly and professionally.
Current Texas LNFA license (required).
5+ years of leadership experience in SNF/Senior Care with demonstrated results in census growth and financial stewardship.
Deep working knowledge of Medicare (PDPM), Medicaid (including Texas QIPP), Managed Care/MA, MDS/RAI processes, ICD-10, Triple Check, and SNF revenue cycle.
Proven success with marketing/outreach, referral relationships, and conversion metrics.
Strong command of quality programs (Five-Star/QMs, infection control, readmissions/VBP) and survey readiness.
Financial acumen: budgets, KPIs (EBITDA/NOI, DSO, AR aging, payer mix, HPPD, PPD), and variance management.
Exceptional leadership, communication, problem-solving, and change-management skills.
Competitive compensation with performance incentives
Comprehensive benefits: Medical, Dental, Vision, 401(k), PTO, Paid Holidays
Supportive regional/corporate partners and robust operational tools
A mission-driven environment where resident care and staff development come first
Join a facility where clinical excellence, census growth, and financial stewardship come together.
Apply today to lead West Janisch Health Care Center to its next level of performance.
Website: westjanischhealthcarecenter.com
Equal Opportunity Employer. This description summarizes key duties; responsibilities may evolve to meet resident and operational needs.
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