Licensed Nursing Home Administrator (LNHA)

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.