Director of Admissions (Skilled Nursing)

Job description

A respected, non-profit skilled nursing facility in Brooklyn with a long-standing reputation for clinical quality, operational stability, and ethical care delivery. The organization operates at the intersection of mission and performance—serving patients, families, and hospital partners with consistency, urgency, and professionalism. Leadership is focused on maintaining strong Medicare census, high clinical standards, and reliable hospital relationships in a highly competitive post-acute market. The Admissions Director is a senior, results-driven role with direct accountability for Medicare census growth and hospital referral conversion. This position is not administrative and not entry-level. It requires a seasoned skilled nursing professional who understands hospital discharge dynamics, payer strategy, and how to win referrals through responsiveness, credibility, and execution. The ideal candidate is business-minded, metrics-oriented, and relationship-obsessed—while still leading with empathy and sound judgment. This role demands presence, follow-through, and ownership 364 days a year. Responsibilities Own Medicare admissions volume and actively drive census performance Serve as the primary admissions authority for hospital referrals, with an emphasis on speed, accuracy, and conversion Develop, manage, and expand hospital referral relationships, including case managers, social workers, and discharge planners Aggressively follow up on referrals to maximize acceptance and minimize leakage Evaluate clinical appropriateness, payer eligibility, and reimbursement potential for all admissions Partner closely with nursing leadership and therapy teams to ensure the facility can deliver on hospital expectations Track referral sources, conversion rates, payer mix, and census trends with a revenue-focused lens Identify barriers to admission and proactively solve them Maintain strong visibility within hospitals and respond quickly to time-sensitive discharge needs Represent the facility as a credible, reliable, and knowledgeable post-acute partner Ensure compliance with Medicare guidelines, regulatory standards, and internal policies Participate in strategic planning related to census growth, payer mix optimization, and market positioning Qualifications Demonstrated admissions or hospital liaison experience within a skilled nursing facility is required Strong Medicare admissions background required; candidates without Medicare-focused SNF experience will not be considered Proven success working directly with hospitals and managing discharge-driven referrals Clear understanding of payer mix, length of stay, and reimbursement implications Business-oriented mindset with comfort being held accountable to numbers and outcomes Ability to operate autonomously in a fast-paced, high-pressure environment Strong judgment, professionalism, and relationship-management skills Emotionally intelligent, patient-centered, and family-aware—without losing operational focus NYC or Brooklyn market experience strongly preferred Compensation Salary range: $90,000 – $125,000, based on experience, hospital relationships, and demonstrated performance This is a high-impact leadership role with direct influence on revenue and organizational stability