Provide operational support and oversight for 17 communities across 2 regions and 8 states spanning the full continuum of care including Skilled Nursing, Memory Care, Assisted Living, and Independent Living. Promoted to lead and oversee performance across strategy, budgeting, financial and regulatory outcomes, compliance, and utilization of services creating value. Leverage resources, remove barriers, and achieve scorecard goals and metrics. Monitor labor, occupancy, and other key performance indicators to ensure unfavorable variances are addressed and remedied proactively. Execute with a focus on developing leaders and optimally stewarding organizational assets.  Tracking presently to realize $6M+ improvement to EBIDA for fiscal year. Increased occupancy by an average of 5% throughout all service lines. Implemented cost containment strategies resulting in a $4M positive variance in year one.  Reinforced compliance with account receivable and collection processes resulting in bad debt of less than 3% throughout all service lines.  Attained 65% of communities achieving an overall CMS Star Rating of 3 stars and above with nearly 50% of the communities at 4 or 5 stars.  Led efforts resulting in 86% of communities achieving a CMS Quality Measure Star Rating of 3 stars and above with 71% of the communities at 4 or 5 stars. Develop and foster a culture of continuous improvement through collaboration, goal setting, and accountability. Ensure new Executive Directors receive a comprehensive orientation and training to support success and alignment to organizational initiatives. Supported and led multiple initiatives by region to collaborate with the organizations hospital system to integrate aligned Physicians, increase hospital throughput to our communities, utilize shared services for lab and x-ray, and reduce rehospitalizations.

St. Joseph PlaceProvide strategic direction and ensure strong operational outcomes with an emphasis in Post-Acute and Long-Term Care. Oversee all department leaders who collectively deliver key initiatives on planning, development, implementation, and evaluation of community programs and services. Establish partnerships to enhance clinical outcomes, customer satisfaction, and cost savings. Managed 100+ employees across 13 departments with 14 direct reports and accountability for all revenue, cash flow, and expenses for a $9M operational budget. Increased occupancy from 65% to >95% in the first nine months of tenure along with a 30% growth in revenue, efforts which set a pattern for continued progress in years two and three. Boosted efficiency and waste reduction which reduced PRD expenses by over 15% in the areas of labor, pharmacy, food, and medical supplies. Achieved a four-star rating for quality measures with significantly improved clinical and regulatory outcomes. Converted all resident rooms to private suites which increased customer satisfaction and market demand.

Pinnacle Ridge Nursing & RehabEnsured the operational success of quality of care, regulatory compliance, financial viability, and patient satisfaction as ED and Licensed Nursing Home Administrator (LNHA). Collaborated to meet the healthcare needs of multiple age groups with solutions-based providers and specialty programs to address memory, behavior, and wound management, and therapy. Directed and facilitated all department leadership, providing strategy on key decisions while collaborating with physicians, psychiatrists, and nurses to ensure achievement of operational goals.  Managed 100+ employees within 14 departments as well as an annual budget of $13M.  Led 3-6 daily meetings to discuss operations and ensure process integrity and assistance with problem solving, increasing efficiencies of departments through process changes and staff development. Recruited and developed strong Interdisciplinary Leadership Team to enhance clinical outcomes, ensure market expansion, increase revenue, and deliver positive operational results for all stakeholders. Implemented Client Relations program to enhance patient satisfaction through effectual customer care. Increased revenue by 3.5% in first year, on track for a 6.1% increase in two years. Decreased expenses in six departments with an average savings of 10% or greater. Realized a 15% growth in market share and new admission volume, successfully increasing the average daily census by 10% in less than 12 months. Developed and enhanced multiple product lines including Memory Care, Sub-Acute Rehabilitation, and Wound Care Management, resulting in average occupancy above 90%.

La Estancia Nursing & RehabManaged all facility operations to ensure compliant and quality service. Collaborated with Accountable Care Organizations to provide excellent clinical outcomes while reducing healthcare costs. Expanded upon partnerships with physician groups to deliver superior outcomes on psychotropic medication reduction and medication cost savings.  Operated $17M annual budget and supervised 150+ employees across 13 departments, with 18 direct reports. Increased revenue by $500K in the first year, $1.5M in two years, and $2M in three years. Reduced overall operating expenses by 21%. Established a successful Post-Acute program with a volume of 80-100 admissions per month. Achieved positive clinical outcomes with a 5-star rating for quality measures, successfully growing average daily census by 75% in under 12 months. Created strategic partnership with physician group bringing hospital re-admission rate below 10%. Realized medication cost savings in excess of $5K per month by implementing an interchange system.

 Managed a $5M budget and 100+ employees across 13 departments, with 12 direct reports. Improved annual revenue by 5% through gain of licensure for outpatient therapy. Implemented new Electronic Medical Record (EMR) system throughout entire facility, resulting in continuity of patient care and strengthened clinical outcomes. Increased bottom line profits by 60% in year one.