Administrator (RN) Adult Day Health Care

Administrator (RN)

Adult Day Health Care Company:

Golden Years ADHC Location:

Edmonton, Kentucky (on-site)

Job Type:

Full-Time |

Exempt Schedule:

Monday - Friday, 6:00 AM - 2:00 PM (on-call availability as needed for operations)

Facility Closures:

Two scheduled closures per year aligned with local

Spring Break and Fall Break Reports To:

Owner / Executive Leadership Who We Are Golden Years ADHC is a Kentucky-based provider serving seniors and adults through Adult Day Health Care (ADHC), Attendant Care, Case Management, and Non-Emergency Medical Transportation (NEMT) under Kentucky Medicaid and the Home and Community Based (HCB) Waiver program. A dedicated Case Manager Supervisor and Transportation Director lead our Case Management and Transportation service lines — the Administrator works together with both to keep our participants at the center of everything we do. We exist to help our neighbors age with dignity, stay connected to the people they love, and remain rooted in the communities they call home. The Golden Rule Is the Standard At Golden Years, we do not just talk about care — we live it. The Golden Rule — treat others the way you would want to be treated — is the standard every team member is hired against, coached to, and measured by. If that is how you already lead, you will feel right at home here. Our Mission To treat every day, and every person, as a sacred opportunity to serve. Guided by the Golden Rule, we offer respectful, kind, and empathetic care that uplifts seniors, supports families, and strengthens our community. Our Vision To be the heartbeat of the communities we serve through compassionate care, so every person feels seen, valued, and at home. Our Values Respect — Honoring every person's dignity and story. Kindness — Leading with warmth in every interaction. Empathy — Understanding and meeting people where they are. Care — Enriching the communities we serve through high-quality support. About the Role We are hiring an Administrator — a clinically licensed leader (Registered Nurse required) who will own the day-to-day operation of our ADHC center and oversee Attendant Care service delivery, while partnering closely with our Case Manager Supervisor and Transportation Director to deliver a seamless participant experience. This is the senior on-site leadership seat. You will set the tone, protect the standard of care, keep us fully aligned with Kentucky Medicaid and HCB Waiver regulations, and build a team that people are proud to be part of. If you are a nurse-leader who wants your clinical license to mean something beyond the bedside — who wants to shape culture, mentor staff, and serve seniors at scale — this role is built for you. What You'll Do (Areas of Responsibility) 1. Operational Leadership Direct the daily operation of the ADHC facility and oversee the Attendant Care service line. Designate and supervise the staff responsible for dietary and activity services, as required by Kentucky ADHC regulations. Maintain appropriate staffing ratios, schedules, coverage plans, and a designated alternate when you are absent. Manage budgets, supplies, vendor relationships, and facility safety/sanitation. 2. Clinical & Participant Care Oversight Provide clinical leadership over participant intake, assessment, plan of care, service delivery, and discharge/transfer decisions. Ensure every participant has a current, person-centered care plan that is reviewed and updated on schedule. Monitor health, safety, and welfare of participants and respond rapidly to changes in condition. Ensure timely transfer or referral when a participant's needs exceed the scope of ADHC services and notify the applicable Medicaid waiver program. 3. Medicaid & HCB Waiver Compliance Maintain full compliance with the Commonwealth of Kentucky Medicaid program and applicable regulations, including: 902 KAR 20:066 — Operation and Services; Adult Day Health Care Programs 907 KAR 1:160 — Home and Community Based Waiver Services 907 KAR 1:170 — Reimbursement for HCB Waiver Services 910 KAR 1:220 — Programs for the Elderly Always keep the agency survey ready for unannounced inspections by the Division of Health Care and annual monitoring surveys conducted on behalf of the Department for Medicaid Services. Oversee accurate documentation, prior authorizations, MWMA submissions, level-of-care recertifications, and Medicaid billing integrity. Manage license renewals (annual) and ADC certification renewals (every 2 years) without lapse. 4. Cross-Service Partnership & Care Coordination Partner with the Case Manager Supervisor to ensure participant plans of care, level-of-care recertifications, and clinical needs are aligned across services. Partner with the Transportation Director to coordinate participant scheduling, attendance, and any clinical or safety considerations that affect transport. Serve as the clinical point of contact across service lines for changes in participant condition, incidents, and complex care decisions. Maintain strong working relationships with the Department for Community Based Services (DCBS), Department for Aging and Independent Living (DAIL), Department for Medicaid Services (DMS), Managed Care Organizations (MCOs), and community resources to advocate for our participants. 5. Attendant Care Oversight Oversee Attendant Care service delivery, caregiver assignments, supervisory visits, and documentation. Ensure attendant care plans align with each participant's person-centered plan of care. 6. People, Culture & Training Recruit, onboard, train, evaluate, and retain a team that reflects our values. Lead new-employee orientation, ensure CPR/First Aid certification, and coordinate required in-service training (including prevention, identification, and reporting of abuse, neglect, and exploitation). Attend educational programs appropriate to the role and arrange ongoing professional development for staff. Build a culture where The Golden Rule is The Standard — every day, with every participant, with every teammate. 7. Quality, Risk & Reporting Lead quality assurance, incident reporting, corrective action plans, and root-cause follow-through. Develop and maintain policies, procedures, and emergency preparedness plans. Report performance, occupancy, compliance, and financial KPIs to executive leadership. Job Requirements Required Active, unrestricted Kentucky license as a Registered Nurse (RN) issued by the Kentucky Board of Nursing. Current CPR certification (American Heart Association or American Red Cross). Minimum 2+ years of administrative/leadership experience in healthcare, long-term services and supports, home health, ADHC, HCB Waiver services, or a closely related setting. Working knowledge of the Kentucky Medicaid Home and Community Based (HCB) Waiver program and applicable Kentucky Administrative Regulations. Experience supervising staff, managing budgets, and leading regulatory inspections/audits. Proven ability to collaborate cross-functionally with peer leaders (e.g., case management and transportation directors) to deliver a seamless participant experience. Valid Kentucky driver's license, reliable transportation, and ability to pass a comprehensive background check, drug screen, and TB screening. Strong written and verbal communication, documentation, and computer proficiency (EHR, MWMA, Microsoft Office/Google Workspace). Strongly Preferred Bachelor's or higher degree (BSN, MSN, or healthcare administration). Prior experience as an Administrator, Director of Nursing, or Program Director in ADHC, PACE, Personal Care, Home Health, or HCB Waiver settings. Experience with Kentucky MCOs (Humana, Anthem, Passport, Aetna Better Health, WellCare, UnitedHealthcare Community Plan). Who You Are A nurse-leader with a servant's heart and a steady hand. Detail-oriented, organized, and unshaken by regulatory complexity. Warm, present, and human with participants, families, and team members. Someone who treats every day, and every person, as a sacred opportunity to serve. What We Offer A family-friendly schedule — Monday through Friday, 6:00 AM - 2:00 PM, with the facility closed twice a year for Spring Break and Fall Break Professional development and continuing education support A faith-rooted, values-driven culture where you are seen and valued. The chance to shape — not just manages the future of a growing Kentucky agency. Compensation and benefits will be discussed in person during the interview process. How to Apply Submit your resume and a brief note telling us why The Golden Rule is already how you lead. We cannot wait to meet you. Golden Years ADHC is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and the participants we serve.