Chief Financial Officer

Chief Financial Officer (CFO
- Must have Skilled Nursing Experience)
Location: Charleston, Illinois (On-Site)
Travel: Required (Multi-State Portfolio)

* Relocation Assistance Available for Qualified Candidates Relocating to Charleston, IL or Surrounding Areas

A growing, multi-state skilled nursing organization is seeking a highly experienced and hands-on Chief Financial Officer (CFO) to lead and scale the financial and revenue cycle operations of the company. This is a critical executive role for a leader who not only understands the complexities of skilled nursing finance, but also has a proven ability to drive performance, accountability, and results across both finance and billing functions.

This position requires direct Skilled Nursing Facility (SNF) experience. Applicants without SNF, long-term care, or nursing home finance and reimbursement experience will not be considered.

The CFO will play a key role in supporting continued growth, ensuring strong cash flow, and building a best-in-class back-office infrastructure.

• Serve as a key advisor to ownership and executive leadership on financial strategy, growth initiatives, and risk management
• Lead financial planning, forecasting, and modeling for acquisitions, expansions, and operational improvements
• Drive data-informed decision-making across all levels of the organization

• Oversee all accounting, budgeting, financial reporting, and cash flow management across a multi-state portfolio
• Ensure timely and accurate preparation of financial statements and reporting packages
• Establish and maintain strong internal controls and scalable financial systems

• Directly oversee the entire billing and collections process across all facilities
• Lead and manage back-office operations, including billers and revenue cycle teams
• Ensure timely and accurate billing, with strict adherence to deadlines and regulatory requirements
• Drive collections performance with a target of 95%+ collection rates
• Identify, investigate, and resolve billing discrepancies and revenue leakage
• Implement processes to reduce denials, improve cash flow, and increase operational efficiency
• Hold billing teams accountable to performance metrics, timelines, and quality standards

• Oversee and optimize Medicare and Medicaid reimbursement processes
• Analyze payer mix, PDPM performance, and reimbursement trends to maximize revenue
• Partner with clinical and operations teams to align financial outcomes with quality care

• Ensure full compliance with all federal and state financial regulations
• Lead and support Change of Ownership (CHOW) processes, including financial structuring and reporting
• Oversee cost reporting, audits, and all regulatory financial submissions

• Lead financial due diligence for acquisitions and support integration efforts post-close
• Partner with legal, compliance, and operations teams during transitions and expansions
• Build financial infrastructure to support a rapidly growing organization

• Build, lead, and mentor both finance and billing teams
• Establish clear KPIs, accountability structures, and performance expectations
• Create a culture of ownership, urgency, and continuous improvement

• Identify opportunities to improve margins, reduce costs, and increase efficiency
• Monitor key financial and operational KPIs across facilities
• Implement best practices and scalable processes across all entities

• Bachelor’s degree in Accounting, Finance, or related field (CPA or MBA strongly preferred)
• MUST have direct Skilled Nursing Facility (SNF)…