Licensed Nursing Home Administrator (LNHA)

Job Description

Job Description

Overview

The Licensed Nursing Home Administrator (LNHA) is responsible for the overall leadership and daily operations of the Otterbein ministry, including the Health Center, Assisted Living, and campus-based care programs. This role provides direction to partners delivering care and services, ensuring the highest standards of quality, compliance, and person-centered outcomes.

The LNHA fosters a collaborative environment that supports strong relationships with the Executive Director, Otterbein SeniorLife leadership, partners, residents, families, and the surrounding community.

All responsibilities are carried out in alignment with Otterbein's mission, values, and guiding principles—supporting a culture where elders and partners thrive together.

At Otterbein, you are more than an employee—you are a Partner in Caring, working alongside others to deliver compassionate, person-centered care that honors each resident's choices and dignity.

Key Responsibilities

Health Care & Regulatory Management

• Ensure the ministry maintains all required licensure, certifications, and regulatory compliance with federal, state, and local requirements
• Maintain current knowledge of healthcare regulations and industry standards
• Build and sustain positive relationships with regulatory agencies and surveyors
• Partner with local healthcare systems to support continuity of care and services
• Oversee the ongoing needs of the Health Center, Assisted Living, and campus care programs
• Maintain visibility and accessibility to residents and families to support engagement and satisfaction
• Ensure corporate compliance standards are implemented, monitored, and maintained
• Maintain awareness of Medicare, reimbursement structures, and their impact on operations

Financial & Operational Management

• Collaborate with the Executive Director and Home Office leadership to develop and manage the annual operating budget
• Monitor financial performance and implement adjustments to achieve operational and financial goals
• Manage key performance indicators including census, payer mix, case mix index (CMI), labor management, and expenses
• Partner with clinical, admissions, and support teams to support occupancy growth and appropriate admissions
• Ensure adherence to financial and operational policies established by Otterbein leadership

Leadership & General Management

• Provide leadership and oversight for daily operations to ensure high-quality services and outcomes
• Hire, coach, mentor, and develop leadership partners, fostering a positive and collaborative culture
• Maintain a strong, communicative work environment that reflects Otterbein values
• Build meaningful relationships with residents, families, and the community
• Maintain an active and visible presence within the community and with partners
• Meet regularly with the Executive Director and provide operational updates and reporting
• Support occupancy and census development initiatives
• Oversee the maintenance of buildings, grounds, and ministry assets
• Represent Otterbein professionally in community relations, outreach, and partnership opportunities
• Promote resident satisfaction, quality outcomes, and overall ministry excellence

Qualifications

• Current Michigan Nursing Home Administrator (NHA) license in good standing (issued by the State of Michigan)
• Bachelor's degree in Health Administration, Long-Term Care Administration, Business, Gerontology, or related field (Master's preferred)
• Minimum of three (3) years of experience in long-term care administration
• Demonstrated knowledge of Michigan state regulations , federal CMS requirements, and survey processes for skilled nursing facilities
• Strong leadership, communication, and decision-making skills
• Proven ability to manage operations, financial performance, and regulatory compliance
• Commitment to person-centered care and honoring resident autonomy

Apply today to join the Otterbein Jackson as the Licensed Nursing Home Administrator.