Administrator / Executive Director Job Description
Position Title: Administrator / Executive Director
Department: Administration
Reports To: Parminder Binning, Chief Executive Officer (CEO); accountable to the Governing Body as applicable under federal and state home health requirements
FLSA Status: Exempt
Location: Kure Home Health
POSITION SUMMARY
1. The Administrator / Executive Director serves as the senior operational leader of Kure Home Health and is responsible for the overall management, direction, coordination, and success of the organization.
2. This position provides executive oversight of all departments, ensuring exceptional patient care, regulatory compliance, financial performance, operational excellence, employee engagement, and organizational growth.
3. The Administrator is accountable for day-to-day operations, census growth, profitability, quality outcomes, staffing, compliance, and achievement of organizational goals.
4. The Administrator is expected to function as an independent executive leader who makes sound decisions, solves problems proactively, and serves as the primary day-to-day operational decision-maker within delegated authority.
5. Parminder Binning serves as CEO and may serve as Administrator Designee / Alternate Administrator for coverage during approved absences, emergencies, or as otherwise designated in writing.
6. The Administrator / Executive Director may serve as the designated Administrator of Record upon formal appointment by the CEO and/or governing body, and must meet all applicable federal, California, accreditation, and payer requirements for the role.
LEADERSHIP EXPECTATIONS
1. Operate with an ownership mentality and full accountability for organizational performance.
2. Serve as the primary operational leader for DPCS, ADON, Marketing, Intake, Scheduling, Billing, HR, and Office Operations.
3. Develop practical solutions before escalating operational issues to the CEO.
4. When executive consultation is required, present viable options and a recommended course of action whenever feasible.
5. Develop leaders who can function independently.
6. Serve as the primary decision-maker for routine operational matters within delegated authority.
7. Create a culture of accountability, urgency, professionalism, and continuous improvement.
SUCCESS IN THE ROLE
1. Serve as the primary operational leader of Kure Home Health.
2. Ensure department leaders seek operational guidance from the Administrator before escalating routine matters to the CEO.
3. Develop solutions and recommendations before seeking executive consultation.
4. Create systems and processes that support consistent decision-making, accountability, and continuity across departments.
5. Improve organizational accountability across all departments.
6. Drive census growth, profitability, employee retention, and quality outcomes.
7. Maintain survey readiness and regulatory compliance at all times.
8. Develop a leadership team capable of functioning independently and effectively.
9. Ensure continuity of operations during business hours, after-hours, weekends, and emergencies.
10. Allow the CEO to focus on strategic growth, business development, governance, and long-term organizational direction rather than routine day-to-day operational management.
EXECUTIVE LEADERSHIP
1. Direct, coordinate, and oversee all agency operations and departments.
2. Provide leadership, coaching, and accountability to managers and department leaders.
3. Ensure alignment of departmental goals with organizational objectives.
4. Establish performance expectations and hold leaders accountable for results.
5. Promote a culture of professionalism, urgency, teamwork, integrity, and patient-centered care.
OPERATIONAL MANAGEMENT
1. Plan, direct, coordinate, and evaluate agency operations.
2. Ensure adequate staffing and resources are available to meet patient needs.
3. Monitor operational efficiency and implement process improvements.
4. Ensure continuity of operations during staff absences, emergencies, and organizational changes.
5. Maintain survey readiness at all times.
6. Resolve operational challenges within delegated authority and escalate only matters requiring CEO, ownership, legal, or major financial approval.
CLINICAL OPERATIONS OVERSIGHT
1. Collaborate closely with the DPCS and clinical leadership team.
2. Monitor hospitalization rates, readmission rates, patient satisfaction, and clinical outcomes.
3. Ensure compliance with Medicare Conditions of Participation, ACHC standards, California requirements, and all other applicable federal, state, and payer regulations.
4. Support achievement of quality outcomes and patient care goals.
5. Partner with the DPCS and clinical leadership team while recognizing that clinical supervision and clinical decision-making remain under the appropriate licensed clinical leadership structure.
CENSUS GROWTH & BUSINESS DEVELOPMENT
1. Maintain accountability for agency census growth and referral development.
2. Collaborate with marketing personnel to develop and execute growth strategies.
3. Monitor referral activity, admissions, conversion rates, and growth trends.
4. Build and maintain referral source relationships.
5. Identify opportunities for expansion, new services, and strategic partnerships.
FINANCIAL MANAGEMENT & P&L RESPONSIBILITY
1. Maintain accountability for agency financial performance.
2. Develop and manage annual operating budgets.
3. Monitor revenue, expenses, labor costs, productivity, and profitability.
4. Review monthly financial statements and KPIs.
5. Implement strategies to improve operational and financial performance.
REVENUE CYCLE MANAGEMENT
1. Oversee all billing, collections, claims submission, and reimbursement activities.
2. Ensure timely and accurate claim processing and submission.
3. Monitor accounts receivable, aging reports, and cash flow performance.
4. Collaborate with billing and finance teams to maximize reimbursement and reduce payment delays.
5. Ensure compliance with payer requirements and billing regulations.
6. Identify and resolve operational issues that may negatively impact reimbursement or collections.
7. Establish weekly billing goals and performance expectations for the billing department.
8. Hold billing personnel accountable for meeting weekly billing, collection, and accounts receivable targets.
9. Monitor total billed revenue, collections, AR aging, denied claims, and timely filing compliance.
10. Develop corrective action plans when billing performance falls below established goals.
11. Ensure communication between clinical, intake, authorization, and billing departments.
12. Maintain accountability for revenue cycle performance and cash flow management.
QUALITY ASSURANCE & PERFORMANCE IMPROVEMENT (QAPI)
1. Direct organizational quality improvement activities.
2. Lead and participate in QAPI initiatives.
3. Monitor hospitalization rates, readmission rates, star ratings, patient satisfaction, productivity, compliance indicators, employee retention, and census growth.
4. Implement corrective actions when deficiencies are identified.
HUMAN RESOURCES & WORKFORCE PLANNING
1. Recruit, hire, onboard, develop, and retain qualified personnel.
2. Conduct performance evaluations.
3. Provide coaching, mentoring, and leadership development.
4. Address employee relations and performance issues.
5. Develop succession plans and future leadership talent.
KEY PERFORMANCE INDICATORS (KPIs)
1. Census growth and admissions.
2. Hospitalization and readmission rates.
3. Patient satisfaction scores.
4. Employee retention and turnover.
5. Revenue, profitability, and budget performance.
6. Weekly billing goals achieved.
7. Monthly revenue targets achieved.
8. Accounts Receivable Days Outstanding (DSO).
9. Percentage of claims submitted timely.
10. Denial rate.
11. Collection rate.
12. Cash collections versus budget.
13. Outstanding AR over 60, 90, and 120 days.
14. Accounts receivable and cash flow performance.
15. Survey readiness and regulatory compliance.
AVAILABILITY & EMERGENCY RESPONSE EXPECTATIONS
1. Serve as the primary operational escalation point for the organization.
2. Maintain availability outside normal business hours when support is required.
3. Respond to staffing, patient care, compliance, technology, and operational emergencies.
4. Coordinate organizational response during emergencies, disasters, surveys, and other time-sensitive events.
5. This position may require evenings, weekends, holidays, and after-hours support.
FINANCIAL AUTHORITY & DECISION RIGHTS
1. Authorized to make day-to-day operational decisions and approve expenditures within limits established by the CEO and/or governing body.
2. Manage departmental budgets and staffing resources.
3. Implement operational improvements and recommend strategic investments, technology enhancements, staffing changes, and process improvements.
4. Major capital expenditures, acquisitions, ownership matters, executive compensation, legal matters, and strategic transactions remain under CEO and/or governing body authority.
5. Establish and enforce department-level performance expectations, workflows, and accountability standards.
6. Participate in hiring, performance management, corrective action, and termination recommendations for department leaders and key operational personnel.
7. Direct operational meetings, KPI reviews, billing accountability meetings, and cross-department process improvement initiatives.
RELATIONSHIP WITH CEO
1. The Administrator reports operationally to Parminder Binning, CEO, and is accountable to the governing body as applicable under federal and state home health requirements.
2. The Administrator serves as the senior operational leader responsible for agency-wide operational performance, including census growth, clinical outcomes, regulatory compliance, employee retention, revenue cycle performance, and financial results.
3. The CEO retains authority over ownership matters, strategic planning, corporate governance, major financial decisions, and long-term organizational direction.
4. The Administrator is expected to manage routine day-to-day operational decisions within delegated authority, allowing the CEO to remain focused on executive oversight, strategic growth, governance, and major organizational decisions.
POSITION QUALIFICATIONS
1. Bachelor's Degree in Healthcare Administration, Business Administration, Nursing, Public Health, or related field preferred; equivalent progressive healthcare leadership experience may be considered.
2. Master's Degree preferred.
3. Minimum five years of progressive healthcare leadership experience.
4. Minimum three years of management experience in Home Health, Hospice, Post-Acute Care, or Healthcare Operations.
5. Experience with budgeting, staffing, financial management, strategic planning, and performance improvement.
6. Must meet all applicable Medicare, California, accreditation, and agency requirements for the Administrator role when formally designated.
SKILLS & ABILITIES
1. Strong leadership and executive presence.
2. Independent decision-making abilities.
3. Strong analytical and problem-solving skills.
4. Ability to develop multiple solutions and recommendations.
5. Financial and operational management expertise.
6. Excellent communication and relationship-building skills.
PRE-EMPLOYMENT REQUIREMENTS
1. Successful background screening.
2. Reference verification.
3. Exclusion screening as required.
4. Ability to meet all applicable regulatory requirements.
ACKNOWLEDGMENT
I acknowledge that I have received, reviewed, and understand the responsibilities and expectations of this position. I understand that this job description is not intended to be an exhaustive list of all duties and responsibilities and may be modified at any time to meet organizational needs.
Employee Name: _________________________________
Employee Signature: ______________________________
Date: __________________________________________
Supervisor Signature: _____________________________
Date: __________________________________________
Pay: From $150,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
