Regional Manager Jobs in St. Louis, MO

CARING HEARTS AGENCY

Regional Manager | Job Description & Performance Expectations

Department: Operations & Business Development Reports to: CEO / COO

Employment: Full-time Territory: Assigned Missouri regions Travel: Regular regional travel

POSITION SUMMARY

The Regional Manager provides hands-on leadership across assigned Caring Hearts Agency locations, ensuring compassionate, dependable home care, effective staffing, regulatory compliance, client satisfaction, and sustainable growth.

The role combines multi-site operational oversight with active marketing, referral development, caregiver recruitment, and measurable business results.

1. REGIONAL OPERATIONS MANAGEMENT

Oversee the day-to-day performance of assigned offices and service areas.

· Supervise office managers and case managers, administrative personnel, and other assigned employees.

· Monitor authorized services, caregiver schedules, missed visits, and coverage gaps; resolve issues promptly.

· Oversee timely billing, payroll review, timekeeping, and Electronic Visit Verification (EVV) corrections.

· Conduct office visits, operational reviews, team meetings, and corrective-action follow-up.

· Maintain responsive communication with clients, caregivers, staff, and executive leadership.

Performance expectation: Reliable, organized operations with clear ownership and timely issue resolution.

2. MARKETING & BUSINESS DEVELOPMENT

Personally lead regional outreach and convert relationships into qualified referrals and new clients.

· Create and execute a regional marketing and referral-growth plan with measurable weekly activity.

· Visit hospitals, rehabilitation centers, senior communities, social workers, case managers, and healthcare providers.

· Build relationships with VA medical centers and community care representatives, veteran groups, churches, senior

centers, and community organizations.

· Promote applicable services including VA Homemaker/Home Health Aide, Consumer Directed Services (CDS), Medicaid

In-Home, Private Duty, and Structured Family Caregiving.

· Represent Caring Hearts at community events, health fairs, networking opportunities, and recruitment events.

· Maintain a current referral-partner pipeline; document visits, follow-ups, referrals, and outcomes.

· Collaborate with leadership on outreach materials, market expansion, and partnership opportunities.

Performance expectation: Consistent, proactive business development, not reliance on incoming referrals alone.

3. CLIENT GROWTH & RETENTION

Increase active client volume while protecting service quality.

· Set and track regional referral, admission, retention, and service-start goals.

· Ensure rapid follow-up with prospective clients and referral partners; remove intake and staffing delays.

· Conduct client satisfaction checks, investigate complaints, and implement corrective action.

· Review client gains, discharges, cancellations, and underlying causes.

Performance expectation: Measurable growth with strong client satisfaction and retention.

4. CAREGIVER RECRUITMENT & STAFF DEVELOPMENT

Maintain a qualified, reliable workforce capable of supporting growth.

· Coordinate recruitment plans, hiring events, and partnerships with workforce programs and schools.

· Track applicant flow, onboarding, required documentation, training, and open shifts.

· Coach supervisors and caregivers; monitor performance, attendance, retention, and disciplinary follow-up.

· Identify staffing shortages before they interrupt client services.

Performance expectation: Staffing capacity aligned with authorized hours and growth targets.

5. COMPLIANCE & QUALITY ASSURANCE

Maintain adherence to applicable payer, state, federal, and agency requirements.

· Monitor applicable Missouri home care requirements, VA contract standards, Medicaid rules, HIPAA, and EVV.

· Review client and employee files, required screenings, training, documentation, and service records.

· Support audits, investigate incidents, escalate material risks, and document corrective actions.

Performance expectation: Audit-ready operations and prompt correction of deficiencies.

6. FINANCIAL OVERSIGHT

Improve regional financial performance without compromising quality.

· Track authorized versus delivered service hours and prevent avoidable missed-service revenue loss.

· Review billing exceptions, payroll discrepancies, overtime, staffing utilization, and office productivity.

· Recommend operational efficiencies and report performance trends to leadership.

Performance expectation: Accurate records, prudent spending, and improved service utilization.

7. LEADERSHIP & ACCOUNTABILITY

Build an accountable, professional team across all assigned locations.

· Set expectations, conduct regular check-ins, provide coaching, and follow through on corrective actions.

· Model responsiveness, sound judgment, confidentiality, teamwork, and respectful communication.

· Make timely decisions and escalate significant client safety, compliance, and staffing issues.

Performance expectation: Regional teams operate effectively with appropriate executive oversight.

8. REQUIRED REPORTING

Submit a concise weekly regional report to the CEO and COO covering:

· Operations: staffing gaps, missed visits, client issues, EVV, payroll, and billing concerns.

· Marketing: outreach contacts, visits, referral partners, new leads, follow-ups, and admissions.

· Recruitment: applicants, hires, onboarding progress, turnover, and open positions.

· Results: active clients, client gains/losses, key risks, corrective actions, and next-week priorities.

Performance expectation: On-time weekly reports and a monthly regional performance review.

9. PROPOSED KEY PERFORMANCE INDICATORS

Measure Initial proposed target

Marketing outreach 10-15 meaningful contacts or visits weekly

New referral partnerships 3-5 per month

Client referrals and admissions Meet agreed regional monthly growth goals

Client retention 90%+ excluding unavoidable discharges

Client complaints Acknowledge within 1 business day

EVV compliance 95%+ or stricter applicable payer standard

Weekly reporting 100% on time

Staff reviews Monthly performance check-ins

Targets are starting benchmarks and may be adjusted for market size, program requirements, and agency priorities.

10. REQUIRED QUALIFICATIONS

· 3-5 years of management experience; multi-site or home care leadership preferred.

· Associate or bachelor degree in business, healthcare administration, marketing, or related field preferred.

· Experience in community outreach, marketing, referral development, or business growth.

· Knowledge of Missouri Medicaid, VA community care, home care scheduling, and EVV preferred.

· Strong leadership, written and verbal communication, problem-solving, reporting, and Microsoft Office skills.

· Valid driver license, reliable transportation, and ability to travel in the assigned region.

11. WORK SCHEDULE & PROFESSIONAL STANDARDS

Full-time role with periodic availability outside regular hours for urgent client or staffing concerns.

· Take ownership, communicate reliably, remain visible in the community, and protect confidentiality.

· Maintain professional relationships and represent Caring Hearts Agency positively.

· Support the agency mission of compassionate, dependable, high-quality care.

12. SUGGESTED PERFORMANCE EVALUATION WEIGHTS

Marketing & Business Development: 30% | Regional Operations: 25%

Client Growth & Retention: 20% | Compliance & Quality: 15%

Financial Oversight & Reporting: 10%

Pay: $41,600.00 per year

Benefits:

• Referral program

Application Question(s):

• 6. Why are you interested in this position specifically?

(Short answer)

• 5. This role pays $41,600 per year. Does this align with your expectations?

Yes / No

Education:

• Associate (Preferred)

Experience:

• Management: 1 year (Preferred)
• Home care: 1 year (Preferred)

Work Location: In person