Executive Placement & Leadership Development

Your facility doesn't need
another administrator. It needs an Aligned one.

We recruit, develop, and place Licensed Nursing Home Administrators whose leadership identity matches your facility's operational needs. Not just qualified — aligned.

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The Crisis

Skilled nursing is caught in a leadership vacuum

The SNF sector faces compounding structural pressure — tightening regulatory requirements, volatile reimbursement models, and catastrophic leadership turnover. The facilities that survive are the ones with administrators who lead with clarity, not just compliance.

Traditional recruiting firms match resumes to job postings. We match behavioral profiles to building diagnostics. The result isn't just a hire — it's an operational upgrade.
43%
annual turnover rate for nursing home administrators — burnout is the #1 reason cited for leaving Source: 2025 Skilled Nursing Workforce Report, MissionCare Collective
$49.2B
in direct care nursing expenses across U.S. SNFs in 2023, driven by labor shortages and agency reliance Source: CLA 39th SNF Cost Comparison Report
1 Star
average CMS Five-Star Rating increase achieved by facilities that reduce staff turnover by just 30% Source: 2025 Skilled Nursing Workforce Report, MissionCare Collective
Who We Serve

Built for both sides of the equation

SNF Operators & Owners
You have an open administrator seat — or you have one filled by the wrong person. We identify, vet, and deliver candidates whose behavioral profile matches your facility's specific operational gaps. Not just qualified. Aligned.
Regional & Corporate Groups
Managing multiple facilities means one misaligned administrator creates cascading risk across your portfolio. We serve as your dedicated executive talent partner — proactive pipeline, not reactive search.
Licensed Administrators
Whether you're seeking your next opportunity or developing toward Architect-level leadership, join our network. We represent your profile to operators who are specifically looking for aligned, high-performance leaders.
Open Positions

Roles we're actively filling right now

Current opportunities placed through our network. All applications are confidential.

LNHA
Licensed Nursing Home Administrator
Junction City, Kansas
Compensation$135K – $165K + up to 15% bonus
Setting135-bed campus — Skilled, Assisted Living & Independent Living

A full-continuum campus with room to grow census and strengthen operations. Ready for an experienced leader who can build trust quickly and bring stability to a team that's ready for it.

What You'll Step Into

  • A full-continuum campus with room to grow census and strengthen operations
  • A team ready for steady, experienced leadership
  • Located near Fort Riley, with a stable, military-adjacent local economy

What We're Looking For

  • Active LNHA license (or eligible for Kansas licensure/reciprocity)
  • Proven experience operating a skilled nursing facility — multi-level care experience a strong plus
  • A leader who can build census, develop a strong team, and run clean, survey-ready operations
  • Someone ready to bring stability and experienced leadership to a building that's ready for it
Apply Now
AIT
Administrator-in-Training
Montana — Dillon, Butte, Whitefish, or Great Falls
Compensation$70K – $80K during training
Program Length6 – 9 months with direct mentorship

Four positions open across some of Montana's most desirable communities. A structured pathway to your own administrator seat — with real mentorship and mountain-town living.

What You'll Step Into

  • A structured training pathway — 6 to 9 months to completion
  • Direct mentorship from experienced leadership
  • The chance to live and train in Montana — mountains, outdoor access, and small-community living
  • A pathway toward your own administrator role upon completion

What We're Looking For

  • Active AIT status or AIT-eligible (per state licensing requirements)
  • Strong desire to learn operations from the ground up — census, culture, and compliance
  • Willingness to relocate to Montana for the training period
  • A learner's mindset and the drive to lead your own building within the year

Locations Available

  • Dillon, MT
  • Butte, MT
  • Whitefish, MT
  • Great Falls, MT
Apply Now
RCD
Regional Clinical Director
Southwest Montana — Dillon & Butte
Compensation$160K
ScopeClinical oversight across two communities

A regional leadership seat with direct influence on care quality, survey readiness, and clinical systems across two Southwest Montana communities.

What You'll Step Into

  • Oversight of clinical operations across two communities
  • A regional leadership seat with direct influence on care quality, survey readiness, and clinical systems
  • Southwest Montana — Dillon and Butte offer small-town living with access to some of the best outdoor recreation in the country

What We're Looking For

  • RN license in good standing (Montana licensure or eligible for reciprocity)
  • Multi-facility clinical leadership experience — DON or Regional Clinical experience preferred
  • A leader who can build clinical systems that hold — survey readiness, documentation accuracy, and care outcomes across two buildings
  • Someone comfortable traveling between Dillon and Butte regularly
Apply Now
The Process

How a placement actually works

01
Facility Diagnostic
We profile your building — census trends, payer mix, operational friction points, and leadership culture — to define exactly what kind of administrator your facility needs, not just who's available.
02
Candidate Alignment
From our network of vetted administrators, we identify candidates whose behavioral profile, operational strengths, and leadership dimension are matched to your facility's specific gaps.
03
Structured Placement
We manage the full introduction process and provide post-placement support to ensure the alignment holds. We don't disappear after the offer letter is signed.
Jameson Shirley
Jameson Shirley
Founder, The Aligned Administrator
About

Built for the administrator I needed to be.

I created The Aligned Administrator for the version of me that failed as a young administrator.

I needed the courage to say yes to the things that needed a yes — and no to the things that needed a no. I needed to understand the thoughts and emotions of my team. I needed to make aligned decisions.

That experience is what drives this work.

Skilled nursing facilities in Arizona and Montana. Leaders hired, coached, and placed across long-term care. And every mistake a 1D and 2D administrator makes — made, learned from, and built into this framework.

This firm exists because the right administrator changes everything — for residents, for staff, and for the financial health of the building. I match operators with leaders who are ready to build, not just survive.

Background
SNF Operations, Executive Recruiting, Leadership Development
Based In
Ogden, Utah
Join the Network

Ready to lead at the Architect level?

Join our administrator network. We'll reach out when an opportunity matches your profile — or when we're ready to develop yours.