The Administrator, reporting to the VP of Home Health Operations and/or designee (Regional Director of Operations/Executive Director), serves as the operational leader for the assigned home health agency/agencies, with full accountability for clinical quality, regulatory compliance, financial performance, and organizational culture.
Posted Sep 28 · 2 years of experience
Unit and setting
Home Health
License
RN license Current state professional license required where applicable.current state professional license where applicable
Term
Permanent
Do you qualify?
License
current state professional license where applicableCurrent state professional license required where applicable.
Education
Bachelor's degree or higher with a healthcare-related focusBachelor’s degree or higher from an accredited college or university with a healthcare-related focus required.
Experience
two years of senior management or executive leadership experience in a licensed healthcare delivery setting
Experience
two years of nursing management experienceTwo years of nursing management experience required.
Experience
leading multidisciplinary teams and complex healthcare operationsDemonstrated experience leading multidisciplinary teams and complex healthcare operations.
Also asks
reliable transportation and insuranceTravel as required; reliable transportation and insurance required.
Preferred
License
Licensed Physician, Registered Nurse, Social Worker, Therapist, or Nursing Home AdministratorLicensed Physician, Registered Nurse, Social Worker, Therapist, or Nursing Home Administrator preferred.
provide executive oversight of all agency operationsProvide executive oversight of all agency operations, ensuring alignment with organizational objectives, regulatory requirements, and quality standards.
Day to day
lead development and execution of operational plansLead the development and execution of operational plans that support long-term performance, scalability, and patient-centered care.
Day to day
serve as senior decision-maker for the assigned agencyServe as the senior decision-maker for the assigned agency, exercising sound judgment in complex clinical, operational, and financial matters.
Day to day
ensure delivery of compliant home health servicesEnsure the delivery of high-quality, compliant home health services in accordance with federal and state regulations.
Day to day
establish culture of accountability for clinical outcomes and patient safetyEstablish a culture of accountability for clinical outcomes, documentation integrity, and patient safety.
Day to day
oversee utilization review, performance improvement, and corrective action plansOversee utilization review, performance improvement initiatives, and corrective action plans to drive continuous improvement.
Day to day
act as subject-matter expert on home health regulatory and operational practicesAct as a subject-matter expert and executive resource on home health regulatory and operational best practices.
Day to day
maintain fiscal accountability including budgeting and financial reportingMaintain full fiscal accountability for agency performance, including budgeting, cost control, revenue integrity, and financial reporting.
Day to day
develop, implement, and evaluate branch budgetsDevelop, implement, and regularly evaluate branch budgets to ensure financial sustainability and operational efficiency.
Day to day
prepare and present annual operational reports and agency evaluationsPrepare and present annual operational reports and agency evaluations to executive leadership and the Board of Directors.
Day to day
attract, develop, and retain clinical and administrative leadersAttract, develop, and retain high-performing clinical and administrative leaders.
Day to day
set expectations for performance excellence and ethical leadershipSet expectations for performance excellence, professional development, and ethical leadership across the organization.
Day to day
ensure staff education, competency assessment, and leadership succession planningEnsure robust staff education, competency assessment, and leadership succession planning.
Day to day
foster a culture of accountability, collaboration, and continuous improvementFoster a culture that values accountability, collaboration, and continuous improvement.
Day to day
serve as executive representative to physicians, referral partners, and regulatorsServe as the executive representative of the agency to physicians, referral partners, community organizations, and regulatory bodies.
Day to day
lead strategic relationship-building initiativesLead strategic relationship-building initiatives to strengthen the agency’s reputation and market presence.
Day to day
monitor, analyze, and improve patient experience and satisfaction metricsEnsure patient experience and satisfaction metrics are actively monitored, analyzed, and improved.
Day to day
implement governing body directives and organizational policiesImplement governing body directives and organizational policies with consistency and integrity.
Day to day
evaluate agency programs, services, and operational effectivenessEvaluate agency programs, services, and operational effectiveness; recommend strategic enhancements or corrective actions.
Day to day
direct annual agency evaluation and oversee reporting requirementsDirect preparation of the annual agency evaluation and oversee reporting requirements that support operational and clinical excellence.
Charting
Nestmed AI ScribeNestmed AI Scribe - Less charting, more caring!
On call
after-hours leadership support and emergency responseAvailability for after-hours leadership support and emergency response.
Details
executive office-based roleExecutive office-based role with flexibility to meet organizational needs.
Serving Texas, Florida, Nevada, and Georgia, we provide skilled nursing, therapy, homecare, hospice, palliative care, and private duty services.
Why Work With Us?
Nestmed AI Scribe - Less charting, more caring!
Competitive pay, 401k, health & life insurance
Flexible schedules & career growth opportunities
Continuing education & recognition programs
Supportive, family-like team culture
Make a difference in patients’ lives while enjoying work-life balance.
Apply today and grow with us!
Position
Summary
The Administrator, reporting to the VP of Home Health Operations and/or designee (Regional Director of Operations/Executive Director), serves as the operational leader for the assigned home health agency/agencies, with full accountability for clinical quality, regulatory compliance, financial performance, and organizational culture. Reporting to the VP of Home Health Operations (or designee) and working closely with regional and executive leadership, this role is responsible for translating organizational strategy into measurable operational results.
Executive Accountabilities
Strategic & Operational Leadership
Provide executive oversight of all agency operations, ensuring alignment with organizational objectives, regulatory requirements, and quality standards.
Lead the development and execution of operational plans that support long-term performance, scalability, and patient-centered care.
Serve as the senior decision-maker for the assigned agency, exercising sound judgment in complex clinical, operational, and financial matters.
Clinical Quality & Regulatory Excellence
Ensure the delivery of high-quality, compliant home health services in accordance with federal and state regulations.
Establish a culture of accountability for clinical outcomes, documentation integrity, and patient safety.
Oversee utilization review, performance improvement initiatives, and corrective action plans to drive continuous improvement.
Act as a subject-matter expert and executive resource on home health regulatory and operational best practices.
Financial Stewardship
Maintain full fiscal accountability for agency performance, including budgeting, cost control, revenue integrity, and financial reporting.
Develop, implement, and regularly evaluate branch budgets to ensure financial sustainability and operational efficiency.
Prepare and present annual operational reports and agency evaluations to executive leadership and the Board of Directors.
Talent & Culture Leadership
Attract, develop, and retain high-performing clinical and administrative leaders.
Set expectations for performance excellence, professional development, and ethical leadership across the organization.
Ensure robust staff education, competency assessment, and leadership succession planning.
Foster a culture that values accountability, collaboration, and continuous improvement.
Stakeholder & Community Leadership
Serve as the executive representative of the agency to physicians, referral partners, community organizations, and regulatory bodies.
Lead strategic relationship-building initiatives to strengthen the agency’s reputation and market presence.
Ensure patient experience and satisfaction metrics are actively monitored, analyzed, and improved.
Governance & Organizational Effectiveness
Implement governing body directives and organizational policies with consistency and integrity.
Evaluate agency programs, services, and operational effectiveness; recommend strategic enhancements or corrective actions.
Direct preparation of the annual agency evaluation and oversee reporting requirements that support operational and clinical excellence.
Requirements
Executive Qualifications
Leadership Experience
Minimum of two years of senior management or executive leadership experience within a licensed healthcare delivery setting (home health, hospice, hospital, nursing facility, or comparable environment).
Demonstrated experience leading multidisciplinary teams and complex healthcare operations.
Two years of nursing management experience required.
Education & Licensure
Bachelor’s degree or higher from an accredited college or university with a healthcare-related focus required.
Licensed Physician, Registered Nurse, Social Worker, Therapist, or Nursing Home Administrator preferred.
Current state professional license required where applicable.
Completion of Texas-specific administrative training (TAC 97.259 / 97.260) provided or agreement to complete upon hire within 2 weeks.
Executive Competencies
Strategic thinking with the ability to translate vision into operational execution.
Strong financial literacy and experience managing budgets and performance metrics.
Executive-level communication and relationship management skills.
Proven ability to lead through change, ambiguity, and regulatory complexity.
High ethical standards and commitment to patient-centered care.
Work Environment & Expectations
Executive office-based role with flexibility to meet organizational needs.
Availability for after-hours leadership support and emergency response.
Travel as required; reliable transportation and insurance required.
Ongoing commitment to professional development and continuing education.
Additional Requirements
Participation in required continuing education and mandatory training programs.
Commitment to ongoing professional development to enhance job-related knowledge and skills.
Willingness to perform additional duties as assigned.
Neighborhoods+Nurses and other professionals typically land in Sugar Land’s master-planned communities: First Colony, Telfair, New Territory, Greatwood, Sugar Creek, Riverstone, Avalon, Lake Pointe Town Center, Riverbend, Oak Lake, and Cullinan Park. Avalon is waterfront living around 70 acres of lakes; Lake Pointe Town Center has Italian-Renaissance-style townhomes with lake views; Sugar Creek is the country-club and golf address; Riverstone is a gated planned community among about 13 master-planned neighborhoods citywide. Alief immediately north is the area locals call rougher. The city sits about 19 miles southwest of downtown Houston, so the commute flavor is suburban highway driving inside HOA subdivisions, not urban density.
Nurses and other professionals typically land in Sugar Land’s master-planned communities: First Colony, Telfair, New Territory, Greatwood, Sugar Creek, Riverstone, Avalon, Lake Pointe Town Center, Riverbend, Oak Lake, and Cullinan Park. Avalon is waterfront living around 70 acres of lakes; Lake Pointe Town Center has Italian-Renaissance-style townhomes with lake views; Sugar Creek is the country-club and golf address; Riverstone is a gated planned community among about 13 master-planned neighborhoods citywide.
Alief immediately north is the area locals call rougher. The city sits about 19 miles southwest of downtown Houston, so the commute flavor is suburban highway driving inside HOA subdivisions, not urban density.
Getting around+Sugar Land is about 19 miles southwest of downtown Houston, with drive times cited at roughly 20–30 minutes, plus easy highway access to the Galleria. There is little mass transit, so almost everyone drives; residents flag traffic and above-average transportation costs as real cons. A nurse working inside Sugar Land would have a short intra-suburb trip in a city known for strong local medical care, but these sources do not name specific hospital campuses, routes, parking, or transit lines. Galveston is about an hour away; the city also has a municipal airport.
Sugar Land is about 19 miles southwest of downtown Houston, with drive times cited at roughly 20–30 minutes, plus easy highway access to the Galleria. There is little mass transit, so almost everyone drives; residents flag traffic and above-average transportation costs as real cons.
A nurse working inside Sugar Land would have a short intra-suburb trip in a city known for strong local medical care, but these sources do not name specific hospital campuses, routes, parking, or transit lines. Galveston is about an hour away; the city also has a municipal airport.
Outdoors+Amenities include more than 50 miles of walking, running, and biking trails plus greenways, golf courses, and lakes. Named places: trails at Sugar Land Memorial Park; the waterfall at Oyster Creek Park; kayaking and fishing at Lost Creek Park; Cullinan Park; and Avalon’s 70 acres of lakes. A BMX track and multiple golf courses, including Sugar Creek’s country-club setting, round out the outdoor map. Summer heat is the limiter, pushing people toward water and indoor time.
Amenities include more than 50 miles of walking, running, and biking trails plus greenways, golf courses, and lakes. Named places: trails at Sugar Land Memorial Park; the waterfall at Oyster Creek Park; kayaking and fishing at Lost Creek Park; Cullinan Park; and Avalon’s 70 acres of lakes.
A BMX track and multiple golf courses, including Sugar Creek’s country-club setting, round out the outdoor map. Summer heat is the limiter, pushing people toward water and indoor time.
Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.
Living in Sugar Land
Sugar Land is a master-planned Fort Bend County suburb about 19 miles southwest of downtown Houston, grown from an Imperial Sugar company town into one of Texas’s most affluent, highly ranked suburbs—Niche’s 5th-best in the state. For a nurse, the practical draw is a local medical-care hub, top Fort Bend schools (Clements High ranked 13th statewide), and a walkable Town Square with dining, Smart Financial Centre concerts, and Space Cowboys baseball at Constellation Field. Daily life runs through named communities—First Colony, Telfair, New Territory, Greatwood, Sugar Creek, Avalon, and gated Riverstone—with lakes, golf, and 50-plus miles of trails at Memorial Park, Oyster Creek Park, and Lost Creek Park. Tradeoffs are real: summers are extremely hot and humid, mass transit is scarce so you drive and sit in traffic, housing runs above the Texas median (homes around $362,000; rents cited from about $1,300 to $1,775), and the city is nearly built out. Entertainment leans restaurants and parks more than Katy’s Topgolf scene. Alief to the north is considered rougher; pick the planned neighborhood that matches your commute and budget.
