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Director of Skilled Nursing

Director of Skilled Nursing

PBACO Holding LLCWest Palm Beach, FL, US
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Job Description

Job Description

Job Description

Job Title : Director of Skilled Nursing

Department : Network Development Team

Reports To : VP of Network Development

FLSA Status : Exempt

DISCLAIMER

This job description is intended to outline the general responsibilities and qualifications for the role. It is not an exhaustive list of duties. Management reserves the right to modify responsibilities, assign new tasks, or reassign duties at any time to meet organizational needs.

Summary

The Director of Skilled Nursing provides strategic leadership and operational oversight for the ACO’s network of skilled nursing facilities (SNFs) and other institutional post-acute providers. This role drives performance across quality, cost, and patient experience metrics while ensuring seamless care transitions and strong alignment with value-based care objectives. The Director partners with physicians, hospitals, and SNF leadership to implement evidence-based care pathways, monitor network adequacy, and achieve shared savings goals.

Key Responsibilities

  • Lead strategy, contracting, and performance management of preferred SNF partners across the ACO network.
  • Establish and track KPIs such as length of stay (LOS), readmission rates, cost per member per month (PMPM), and patient satisfaction.
  • Develop and implement programs to improve care coordination between hospitals, SNFs, and primary care providers.
  • Monitor referral patterns, bed availability, and geographic coverage to ensure network adequacy.
  • Provide actionable data and insights to leadership to inform network expansion and performance improvement.
  • Ensure compliance with CMS requirements and all regulatory standards for skilled nursing care.
  • Represent the organization in contract negotiations, community meetings, and professional conferences related to skilled nursing.
  • Support education initiatives for providers and care teams on best practices for post-acute care and transitions.
  • Assist in organizational growth by initiating strategic relationships with skilled nursing facilities nationwide.

Supervisory Responsibilities

Directly supervises Post-Acute Care Managers, Network Analysts, and other assigned staff supporting skilled nursing initiatives. Provides mentorship, performance feedback, and professional development opportunities.

Qualifications

Education & Experience

  • Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field required; Master’s preferred.
  • Minimum 8–10 years of progressive experience in skilled nursing operations, post-acute care management, or value-based care, with at least 5 years in a leadership role.
  • Demonstrated success managing SNF performance metrics and regulatory compliance.
  • Skills & Competencies

  • Strong leadership and team management skills, with the ability to mentor and develop staff.
  • Excellent consulting and relationship management skills, with a proven ability to engage specialist physicians, executive stakeholders, and practice leaders.
  • Advanced project management expertise, including portfolio management and strategic planning.
  • In-depth knowledge of skilled nursing operations, CMS regulations, physician practice operations, and value-based care models.
  • Strong financial and analytical skills with the ability to interpret data, develop insights, and present recommendations.
  • Highly effective communication and presentation skills for internal and external audiences, including executive leadership and providers.
  • Ability to manage change and drive results in a complex, fast-paced environment.
  • Collaboration & Education

  • Partner with Provider Consultants to deliver SNF updates, performance metrics, and analytics.
  • Educate PCPs on plan of care reviews, including key components and documentation requirements.
  • Facilitate discussions with providers on appropriate levels of care, reducing avoidable admissions, and improving continuity.
  • Operations & Compliance

  • Monitor and report on SNF performance metrics (LOS, readmissions, PMPM, preferred network utilization).
  • Ensure adherence to CMS regulations and maintain current knowledge of federal rulings impacting post-acute care.
  • Represent the post-acute network development team in All Member meetings, POD meetings, and off-site engagements as needed.
  • Language Skills

    Ability to interpret complex healthcare regulations and communicate strategic initiatives clearly to leadership and providers.

    Reasoning Ability

    Applies strategic thinking and structured problem-solving to drive performance improvement and operational efficiency.

    Computer Skills

    Proficiency in MS Office Suite, project management software (MS Project, Smartsheet, Asana), and healthcare data systems.

    Other Skills and Abilities

  • Demonstrated ability to influence stakeholders at all levels.
  • Strong business acumen and ability to align network strategies with organizational priorities.
  • Commitment to confidentiality, integrity, and professional ethics.
  • High integrity, confidentiality, and professional judgment.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Physical Demands

    While performing the duties of this role, the employee may alternate between sitting, standing, and reaching. Work may require extended periods at a computer. The employee may occasionally lift or move up to 10 pounds.

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    Director Of Nursing • West Palm Beach, FL, US

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