Assistant Vice President of Clinical Services – West Region

Department: Corporate Clinical Services
Location: West Michigan Region – Corporate Hybrid with Extensive Facility Presence
Reports To: Vice President of Clinical Services
FLSA Status: Salary Exempt

Position Summary

The Assistant Vice President of Clinical Services (AVP Clinical Services – West Region) serves as a senior executive clinical operations leader responsible for oversight, accountability, regulatory compliance, quality outcomes, and clinical operational performance across assigned skilled nursing and long-term care facilities within the West Michigan region.

 

This role requires a highly visible, hands-on leadership presence within assigned facilities and is not intended to function as a remote support role. The AVP is expected to routinely round in facilities, provide direct operational and clinical leadership support, hold Directors of Nursing and clinical leadership teams accountable, and intervene rapidly in facilities identified as high-risk, survey challenged, financially struggling, or operationally unstable.

 

The AVP partners closely with the Vice President of Clinical Services, Regional Directors of Operations, Administrators, Human Resources, and interdisciplinary leadership teams to drive clinical excellence, survey readiness, staffing stabilization, and regulatory compliance while ensuring consistent execution of company standards and expectations.

 

This position requires strong executive presence, decisive leadership, accountability management, and the ability to lead in high-pressure clinical and regulatory environments.

Essential Leadership Expectations

Facility Presence & Visibility Expectations

• Must maintain a consistent and routine physical presence within assigned facilities throughout the West Region.
• Expected to conduct regular on-site rounds with DONs, ADONs, Administrators, and interdisciplinary teams.
• Must be available to travel extensively and respond onsite to urgent clinical, staffing, survey, regulatory, or operational concerns.
• Remote work flexibility is secondary to operational needs and facility support expectations.
• Leadership visibility, responsiveness, and active engagement in facilities are essential functions of this role.
• Expected to maintain strong relationships with facility leadership teams while enforcing accountability and operational standards.

Primary Objectives

• Ensure clinical quality, regulatory compliance, and operational consistency across assigned facilities
• Drive survey readiness and sustainable regulatory compliance initiatives
• Improve clinical outcomes, Five-Star performance, and quality metrics
• Support and strengthen Directors of Nursing and regional clinical leadership
• Stabilize underperforming or high-risk facilities
• Reduce clinical risk exposure and improve operational accountability
• Ensure execution of company clinical initiatives, standards, and policies
• Partner with Operations to ensure staffing stability and leadership retention
• Promote a culture of accountability, urgency, professionalism, and resident-centered care

Key Responsibilities

1. Executive Clinical Oversight

• Provide executive-level oversight of clinical operations across assigned facilities
• Analyze and monitor key clinical metrics, trends, Quality Measures (QMs), and Five-Star indicators
• Identify operational risks and implement corrective action plans with urgency
• Conduct routine clinical audits and operational assessments
• Review incidents, accidents, grievances, infection trends, rehospitalization data, falls, pressure injuries, and risk indicators
• Ensure compliance with company standards, CMS regulations, Michigan LARA requirements, OSHA standards, and applicable federal/state laws
• Hold facility clinical leadership accountable for execution and outcomes

2. Survey Readiness & Regulatory Compliance

• Lead ongoing survey readiness efforts across assigned facilities
• Conduct mock surveys, focused audits, and compliance reviews
• Provide direct support during state, federal, complaint, and infection control surveys
• Develop, implement, and monitor Plans of Correction (POCs)
• Ensure facilities maintain continuous survey readiness, not reactive preparation
• Provide immediate intervention and action planning for facilities with Immediate Jeopardy (IJ), repeat citations, or poor survey history
• Maintain expert-level knowledge of CMS, Michigan LARA, infection prevention stan