Regional Operations Director, Skilled Nursing

Posting Date 08/28/2026 2800 N Loop WestSte 800, Houston, Texas, 77092-8838, United States of America The Role You'll Play DaVita Kidney Care is seeking a visionary, entrepreneurial, and passionate operations leader to expand our DaVita SNF Dialysis (DSD) service line to improve the lives of patients. As the Regional Operations Director (ROD), you will operate as a growth-oriented General Manager, leading all strategy, business expansion, and day-to-day operations across Texas (including key markets such as Dallas, Houston, and Austin). In this role, you will oversee 15–20 Skilled Nursing Facility (SNF) dialysis programs ("dens"), manage 100+ clinical and operational teammates, and hold full accountability for P&L. You will provide strategic and tactical leadership to field management across assigned facilities, ensuring safe, high-quality, therapeutic, and ethical patient care while accelerating the growth and volume of our on-site dialysis services across the region. Several years ago, DaVita established this rapidly growing service line dedicated to transforming kidney care by bringing DaVita’s industry-leading dialysis directly on-site to skilled nursing facilities. By treating patients in dedicated "den" suites within SNFs, DSD eliminates the physical strain, expense, and logistical burden of transporting medically complex residents off-site. Working in close collaboration with SNF operators, local nephrologists, and regional health systems, DaVita builds specialized on-site hemodialysis programs that seamlessly complement outpatient, home, and hospital settings to ensure continuity across the care continuum. For more information, please visit DaVita Skilled Nursing Facilities . Key Responsibilities & The Role You'll Play Lead an Operational Powerhouse: Directly lead, develop, and inspire a team of 1-2 operational leaders and managers, providing clear standards, accountability, and coaching to ensure superior, compliant patient care across all SNF dens. Drive Startup & Growth Strategy: Spearhead territory expansion, market development, and new SNF den launches. Partner cross-functionally with Business Development (BD) and regional leadership to pitch contracts to SNF operators, advance partnership agreements, and accelerate new site operational conversions. Maximize Treatment Volume & Capacity: Drive patient census and optimize chair utilization across your book of business, focusing aggressively on maxing out treatment volume while upholding clinical excellence. Full P&L & Labor Management: Maintain complete financial ownership of a $15M–$25M P&L. Meet and manage labor budgets, optimize operational expense (OPEX), and execute disciplined financial forecasting. Executive & Healthcare Partner Collaboration: Serve as the executive operational liaison to SNF administrators, Directors of Nursing (DONs), Medical Directors, referring nephrology practices, and health system discharge planners. Quality, Safety & Regulatory Compliance: Ensure strict operational compliance with CMS guidelines (including CMS QSO-18-24-ESRD standards for SNF dialysis) and state regulatory requirements, partnering closely with Clinical Services (DCS/MCS) and parent hub facilities. Continuous Improvement & Operational Excellence: Review and analyze regional performance data, identify process bottlenecks, and implement proactive solutions to enhance clinical outcomes, patient safety, and service excellence. Market Intelligence & SWOT: Maintain continuous awareness of regional healthcare dynamics and competitors, conducting proactive SWOT analyses to capture emerging market opportunities. Live the Trilogy of Care: Foster a high-belonging, purpose-driven culture aligned with DaVita's Trilogy of Care ( Caring for Our Patients, Caring for Each Other, Caring for Our World ) and support our 2030 Community Care initiatives via DaVita Community Care . Champion Core Values & "Get Stuff Done": Cultivate an environment that