VP of Human Resources in Skilled Nursing

Vice President of Human ResourcesLocation: St. Louis, MO (daily in-office)Salary: $200,000, based on experience

We are a leading operator in the senior care and skilled nursing space, managing multiple facilities across several states. With a strong reputation for operational excellence, compliance, and compassionate care, we are committed to delivering the highest quality support to both residents and staff. Our culture values hands-on leadership, collaboration, and a proactive approach to solving HR challenges in a fast-paced, multi-site environment.

We are seeking an experienced Vice President of Human Resources to join our team in St. Louis. This is a hands-on, high-impact role that will oversee all HR operations across multiple sites. The ideal candidate is comfortable diving into the details of payroll, compliance, recruitment, and HR operations while driving strategic initiatives that support the growth and success of the organization. Previous experience in skilled nursing is highly preferred, but candidates from homecare, hospice, or other multi-site, multi-state environments will be considered.

Responsibilities

• Lead and manage all human resources functions across multiple facilities, including recruitment, onboarding, payroll, benefits administration, performance management, and employee relations.

• Ensure full compliance with federal, state, and local HR regulations.

• Develop and implement HR policies and procedures that support operational excellence and organizational growth.

• Collaborate with executive leadership to align HR strategies with business objectives.

• Drive talent acquisition and retention strategies for multi-site operations, ensuring the right staffing levels and skill sets are in place.

• Oversee payroll processing and HR operations, maintaining accuracy, timeliness, and compliance.

• Serve as a hands-on HR leader, willing to engage directly with staff at all levels to solve problems and improve processes.

• Support organizational initiatives related to culture, engagement, and employee development.

Qualifications

• Minimum 10+ years of progressive HR leadership experience in healthcare or related multi-site organizations.

• Skilled nursing experience is highly preferred; homecare, hospice, or other multi-state healthcare experience considered.

• Strong knowledge of payroll, benefits administration, HR compliance, and operational HR processes.

• Proven track record of managing HR for multi-site operations.

• Hands-on, proactive, and able to tackle complex HR challenges directly.

• Excellent communication, problem-solving, and leadership skills.

• Willingness to relocate to St. Louis, MO, if necessary.

Compensation

• Base salary of $250,000 - $280,000, commensurate with experience.

• Relocation assistance provided for qualified candidates.

• Opportunity to make a significant impact in a growing, multi-state healthcare organization.