Job Description

Columbia Healthcare of Cascadia is Cascadia Healthcare’s Western WA and OR team of facilities. One of our facilities , Highland Health and Rehabilitation of Cascadia , is a leading healthcare provider specializing in rehabilitation and skilled nursing care. Located in Bellingham, WA, Highland is dedicated to delivering personalized care that enhances the well-being and quality of life of each of our residents. At Highland, our team creates customized treatment plans for every patient, focusing on their individual needs and goals.

We are seeking a compassionate, mission-driven Chief Executive Officer / Administrator to lead our skilled nursing facility. In this role, you’ll oversee day-to-day operations while fostering a culture of excellence, safety, and person-centered care. You’ll guide our team with integrity and accountability, ensuring compliance with all regulatory agencies, optimizing operational performance, and building trust with residents, families, and staff. This is an opportunity to lead with heart—making a real difference in the lives of those we serve.

Key Responsibilities:

Leadership & Culture

• Champion a positive organizational culture aligned with our core values: Family, Ownership, Responsibility, Celebration, and Experience
• Serve as a role model of ethical leadership and compassionate service
• Set expectations and lead with transparency, empathy, and consistency
• Build an inclusive, respectful, and development-focused environment for staff at all levels

Facility Operations & Compliance

• Ensure the facility maintains full compliance with federal, state, and local regulations, including CMS, OSHA, ADA, and state survey protocols
• Maintain active knowledge of all licensure requirements and lead preparation for surveys and audits
• Conduct regular facility inspections and implement corrective actions as needed
• Oversee risk management and maintain high standards for resident safety and quality care

Team Management & Development

• Hire, train, and manage department directors and staff; ensure adequate staffing levels and continuity of leadership across shifts
• Develop and support leadership within the facility through coaching, mentoring, and performance evaluations
• Promote employee engagement, accountability, and retention through recognition, feedback, and growth opportunities

Resident Care & Advocacy

• Ensure all residents receive quality, person-centered care that meets their physical, emotional, and psychosocial needs
• Review care plans and outcomes to ensure services are delivered in alignment with resident goals and expectations
• Protect resident rights and promote dignity, respect, and a supportive environment

Financial Oversight & Strategy

• Lead the development and execution of the facility’s annual budget in coordination with the President
• Monitor financial performance including census, revenue, expenses, and payer mix
• Maintain regulatory compliance with Medicare, Medicaid, and private insurance billing requirements
• Collaborate with internal stakeholders to identify operational efficiencies and cost-saving opportunities

Community Engagement & Partnership

• Represent the facility in community outreach, local organizations, and business development opportunities
• Build strong relationships with residents, families, healthcare partners, vendors, and regulatory agencies
• Collaborate with other facility leaders and participate in region-wide initiatives and strategic planning efforts

Committee Involvement

• Lead and participate in key committees such as Quality Assurance & Performance Improvement (QAPI), Safety, Infection Prevention, and Interdisciplinary Teams
• Drive quality improvement initiatives and measure performance outcomes aligned with strategic goals

What We’re Looking For:

• Bachelor’s degree in Healthcare Administration, Business, Nursing, or a related field (Master’s preferred)
• Active Nursing Home Administrator (NHA) license in the state of WA
• Minimum of 5 years of progressive leadership experience in a healthcare or long-term care setting
• Strong understanding of skilled nursing regulations, CMS guidelines, and P&L oversight
• Proven ability to build high-performing teams and drive resident and employee satisfaction

Benefits:

• Annual starting at $115,000 (depending on experience) + bonus structure
• Relocation package
• Benefits Package: Medical, dental, and vision insurance
• Retirement: 401(k) plan
• Generous Paid Time Off: Including vacation, sick days, and holiday pay
• Employee Assistance Program (EAP)
• Disability Insurance: Short- and long-term coverage
• Life Insurance

Ready to Lead with Purpose?

At Columbia Healthcare of Cascadia , we are committed to creating a motivating and empowering environment for both our residents and our employees. If you are a transformational leader with a passion for resident care and a dedication to operational excellence, we want to hear from you!

Apply today and help us continue our mission of being a Force for Good in the lives of our residents, their families, and our team members.

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