Divisional Vice President of Clinical Operations

Purpose:

The Vice President of Clinical Operations provides strategic and operational clinical leadership across all senior living communities within an assigned division, spanning assisted living, memory care, and independent living services. Reporting to the Chief Clinical Officer, this role translates enterprise clinical strategy into consistent, high-quality resident care at the community level. The VP is accountable for standardizing clinical practice, safeguarding multi state regulatory compliance, mitigating clinical risk, and optimizing the operational and financial performance of clinical services. Serving as the primary clinical bridge between the corporate office and the field, the VP leads and develops a team of regional clinical leaders to advance resident wellness, safety, and satisfaction while supporting the division’s overall business objectives.

ABOUT THE LEGACY DIVISION

You'll lead clinical operations for Sinceri's Legacy division that has 76 communities offering independent living, assisted living, and memory care, organized into six regions. The division spans 16 states: CA, CO, ID, IL, IN, ME, NC, OH, OR, SC, SD, TN, TX, VA, WA, and WI. You'll partner with a divisional leadership team spanning Sales, Operations, Clinical, Dining, Resident Experience, and Environmental Services, collaborating across every discipline to deliver a coordinated, exceptional experience for residents and their families.

Essential Job Functions:

Clinical Quality and Standardization 

• Align divisional clinical practices, memory care programming, and assisted living services with enterprise clinical protocols, standards, and philosophy of care. 
• Lead divisional quality assurance and performance improvement efforts to reduce falls, medication errors, avoidable hospitalizations, and other adverse clinical outcomes. 
• Monitor divisional clinical quality metrics and dashboards, identify trends, and drive targeted interventions and measurable improvement. 
• Ensure accurate and consistent resident assessments, care-level determinations, and service plan execution across all communities in the division. 

Regulatory Compliance and Survey Readiness 

• Maintain perpetual survey readiness across all communities and ensure ongoing compliance with applicable state assisted living, memory care, and licensing regulations. 
• Oversee mock surveys, self-audits, and readiness reviews, and hold communities accountable for closing identified gaps. 
• Direct the development and execution of Plans of Correction for regulatory deficiencies, including complex citations and immediate jeopardy or equivalent findings. 
• Partner with the Regulatory & Quality Services, Licensing, and Legal teams on investigations, remediation, and communication with state agencies. 

Risk Management

• Monitor clinical incident reports and high-risk resident situations, and implement proactive risk-reduction strategies across the division. 
• Support timely reporting, investigation, and documentation of clinical incidents in accordance with enterprise risk and insurance protocols. 
• Partner with Risk, Insurance, and Legal on claims, liability trends, and mitigation planning. 
• Escalate significant clinical, regulatory, and liability risks to the Chief Clinical Officer and cross functional partners. 

Operational and Financial Performance 

• Partner with the Divisional Vice President of Operations to manage clinical labor budgets, care-level pricing models, and clinical supply expenses. 
• Optimize staffing grids to meet resident acuity and care needs while aligning with financial and productivity benchmarks. 
• Drive appropriate care-level capture and revenue integrity through accurate assessment and documentation practices. 
• Reduce reliance on agency staffing through effective workforce planning, retention, and scheduling strategies. 

Clinical Technology and Innovation 

• Evaluate, implement, and drive adoption of clinical and resident-experience technologies, electronic health record systems, and clinical partnerships across the division. 
• Champion consistent utilization of enterprise clinical platforms and support field teams through implementation, training, and change management. 
• Serve as a clinical subject-matter partner in the assessment of new tools, vendors, and care models.

Team Leadership and Talent Development 

• Direct, mentor, and evaluate a team of Regional Director of Health Services, setting clear expectations and accountability. 
• Support the recruitment, interviewing, and onboarding of community-level Health Services Directors. 
• Build a supportive, high-performing clinical culture that strengthens engagement and retention of nursing and clinical staff. 
• Develop clinical talent pipelines and succession plans within the division. 

Cross-Functional Collaboration 

• Serve as the clinical liaison between the corporate office and community teams, ensuring two-way communication of strategy, expectations, and field realities. 
• Collaborate with Operations, Regulatory & Quality Services, Licensing, Risk, Insurance, and Legal to deliver aligned, integrated support to communities. 
• Represent divisional clinical operations in enterprise initiatives, rollouts, and strategic planning as directed by the Chief Clinical Officer.

Sales & Marketing Partnership

• Partner with Sales and Marketing to ensure the community’s clinical capabilities, levels of care, and signature programs are represented accurately and in compliance with advertising and licensing requirements. 
• Support move-in decisions through clinical review of prospective residents to confirm the community can safely meet their care needs while promoting right-fit admissions, census growth, and long-term retention. 
• Provide clinical expertise for tours, family meetings, and prospect questions involving higher acuity and memory care needs, and equip sales teams to speak accurately to levels of care and pricing. 

Resident Experience Partnership

• Partner with the Resident Experience teams to align clinical care planning with life enrichment, engagement, and memory care programming so activities suit each resident’s cognitive and physical abilities. 
• Collaborate on resident engagement technology and on satisfaction initiatives that strengthen resident and family confidence. 
• Support a smooth clinical onboarding at move-in, and use resident engagement participation and feedback to inform care planning and continuous quality improvement. 

Additional Responsibilities 

• Represent the organization in industry associations and professional development activities. • Perform other duties as assigned to support organizational objectives and regulatory compliance.

Minimum Eligibility Requirements

Education & Licensure

• Current and unrestricted Registered Nurse (RN) license in good standing. 
• Bachelor of Science in Nursing (BSN) and Master’s degree (MSN, MHA, or MBA) preferred. 
• Minimum of 5–7 years of multi-site regional or divisional clinical leadership in senior living, assisted living, or long-term care. 
• Demonstrated expertise managing assisted living and memory care clinical operations. 
• Proven track record navigating state health department and licensing regulations and managing complex surveys and Plans of Correction. 

Key Competencies 

• Working knowledge of electronic health records and clinical data/analytics systems. 
• Strong financial acuity, including clinical budget and staffing grid management. 
• Excellent crisis management, communication, and interpersonal skills. 
• Ability to lead through influence across a geographically dispersed, multi-state division.