Licensed Nursing Center Site Administrator (LNHA)

About the job Licensed Nursing Center Site Administrator (LNHA)


Job Title: Licensed Nursing Center Site Administrator (LNHA)

Location: On-site (Reporting in-person to designated facility locations in Berlin, VT or Middlebury, VT )


Job Type: Full-time, Senior-level


Vacancies: 3 Openings (Positions active/vacant for more than 30 days)


Reports To: VP of Long-Term Care Operations


About The Organization

Our client is a prominent, long-standing regional academic health system dedicated to delivering exceptional, compassionate, and equitable care across rural communities. Driven by a mission to foster healthier lives, the health system integrates local hospitals, outpatient clinics, long-term care facilities, and home-based services. By bridging advanced medical research with localized community care, they work dynamically to address all dimensions of health and prepare the next generation of healthcare clinicians.


Job Summary

The Licensed Nursing Home Administrator (LNHA) is responsible for creating and maintaining an environment providing high-quality clinical care in a homelike setting. The SA ensures that facility operations meet all applicable internal policies, procedures, and the strict federal and state regulations governing long-term care facilities. As a key contributor to strategic priorities regarding healthcare access, affordability, and quality, the SA drives the continuous improvement and evolution of post-acute and long-term care services to meet community needs.


Key Responsibilities & Success Criteria

Strategic Leadership & Oversight

• Effective Oversight: Establish and maintain standard processes for the development, integration, and execution of operational policies, vendor contracts, and strategic initiatives.
• Systemic Problem Solving: Identify and bridge systemic gaps, policy inconsistencies, and contractual issues while proactively promoting cross-functional and partner coordination.
• System Alignment: Align site-specific policies, contracts, and initiatives with broader health system leadership goals, nurturing external relationships to support organizational objectives.
• Strategic Advisory: Provide informed guidance on policy priorities and routinely convene stakeholders to foster consensus and integrate necessary strategic changes.

Operations & Staff Development

• Project Management: Lead collaborative, facility-wide efforts that result in tangible organizational improvements and structural advancements.
• Professional Development: Invest heavily in the ongoing training and professional development of staff, staying ahead of industry trends, advancements, and clinical best practices.
• Industry Expertise: Navigate health care delivery systems, payer/reimbursement requirements, employee/labor relations, case management, cost controls, and operational productivity.

Professional Accountability & Culture

• Core Values: Demonstrate absolute integrity, compassion, and respect when working with patients, families, visitors, and staff.
• Privacy & Confidentiality: Strictly protect the privacy and confidentiality of patient, family, staff, and proprietary financial or business information.
• Inclusive Environment: Support an organizational culture where staff feel appreciated, included, and valued, actively promoting diversity and respecting individuals of all backgrounds.
• Operational Standards: Maintain adherence to facility attendance expectations, dress codes, ID badge compliance, and the safe, appropriate use of organizational resources.

Job Requirements & Qualifications

Must-Haves (Strict Requirements)

• Licensure: Must hold an active Vermont and/or New York Nursing Home Administrator License .
• Experience Track: Previous verified experience as a Licensed Nursing Home Administrator (LNHA) or an Assistant Administrator.
• Years of Experience: Minimum of 2 to 5 years of administrator experience.
• Education: Bachelor's degree in Healthcare Administration, Business Administration, or a related field from an accredited institution.
• Visa Sponsorship: No visa sponsorships are supported for this role (Candidates must be authorized to work in the U.S. without restrictions).

Nice-To-Haves

• Preferred Experience: Ideally 10+ years of progressive LNHA experience.
• Advanced Degree: Master's degree in a related healthcare or business administration field is preferred.
• Background Variety: Direct management experience in at least one of the following settings: Skilled Nursing Centers, Residential Care Settings, or Assisted Living Settings.

Key Skills and Attributes

• Demonstrated skills in strategic program planning and a creative, solutions-oriented approach to problem-solving.
• Excellent verbal/written skills and the ability to be highly self-directed while driving collaboration.
• The capability and tenacity to navigate complex organizational structures, with a proven ability to influence others without direct lines of authority.
• A strong sense of urgency and commitment to clear priorities in a challenging, fast-paced environment.

Working Conditions

• Location: Must report in-person to the specific designated facility (No remote work supported).
• Hours: May require working during non-business hours depending on operational or facility needs.
• Travel: Extensive travel is generally not required, though occasional traveling may be necessary.
• Environmental Factors: May experience demanding professional stress and exposure to hostile or emotionally upset clients, family members, or staff. Potential exposure to blood-borne pathogens and varying client-based environments (inclement weather, animals, tobacco use, dust, etc.).

Compensation & Benefits

The organization provides a comprehensive, competitive corporate benefits package including:

• Comprehensive Medical, Dental, and Vision Insurance Plans
• Generous Paid Time Off (PTO)
• Retirement Plan with Company Matching
• Group Life Insurance
• Equity/Performance Opportunities