General Manager – Home Care Agency

Comfort Keepers | St. Cloud, MN (Plus 2 Satellite Offices)
Full-Time | Exempt

Position Summary

Comfort Keepers of St. Cloud is seeking a dynamic and strategic General Manager to lead our multi-site home care operation. This executive-level role is responsible for overall leadership, operational excellence, financial stewardship, regulatory compliance, and sustainable growth.

The General Manager serves as the primary leader of the organization — ensuring exceptional client care while driving strong financial performance, disciplined cost management, and long-term profitability. This position partners closely with clinical leadership and ownership to balance quality outcomes with sound business strategy.

Key Responsibilities

Executive Leadership & Organizational Strategy

• Provide strong, visible leadership to office staff and caregivers across all locations
• Foster a culture of accountability, compassion, and performance excellence
• Align operations, staffing, and financial strategy with company growth goals
• Lead management meetings and drive data-informed decision making

Financial Leadership & Business Management

• Own full P&L responsibility across all locations
• Develop and manage annual budgets, financial forecasts, and cash flow planning
• Monitor revenue, payroll and benefits, expenses, and profitability
• Analyze financial reports and KPIs to identify trends and improvement opportunities
• Oversee billing, payroll, authorization management, and cost controls
• Ensure responsible management of employee benefits programs
• Maintain strong working knowledge of accounting systems (including QuickBooks or similar platforms)
• Partner directly with accountants, payroll providers, and financial advisors
• Ensure compliance with tax, insurance, and financial reporting requirements
• Drive operational efficiencies that improve margins without compromising care quality

Operations & Regulatory Compliance

• Ensure full compliance with:
  • Minnesota Department of Health (MDH) Comprehensive Home Care Licensure
  • Minnesota DHS regulations
  • OSHA, HIPAA, and employment laws
• Maintain readiness for state surveys, audits, and inspections
• Oversee policies, documentation standards, and client care processes
• Collaborate with clinical leadership to ensure services meet regulatory and quality standards
• Ensure accurate client service agreements and documentation

Insurance, Risk & Benefits Oversight

• Oversee Workers’ Compensation and related claims management
• Manage liability, professional, and business insurance coverage
• Review insurance policies, renewals, and risk exposure with brokers and advisors
• Respond to unemployment claims and hearings in coordination with HR and ownership
• Ensure employee benefits administration is financially sustainable and compliant

Client Experience & Workforce Leadership

• Ensure appropriate caregiver staffing levels to meet client needs
• Oversee recruiting, onboarding, and training of caregivers and office staff
• Promote caregiver engagement, retention, and professional development
• Oversee client intake and service coordination
• Address escalated client or family concerns
• Monitor satisfaction metrics and implement quality improvement initiatives

Qualifications

Required

• 3–5 years of leadership experience in home care, home health, or healthcare operations
• Demonstrated success managing budgets, financial performance, and operational growth
• Strong understanding of P&L management and cost control
• Experience working with accounting systems (QuickBooks or similar)
• Experience collaborating with accountants, payroll providers, and insurance partners
• Knowledge of Minnesota Comprehensive Home Care Licensure requirements
• Proven ability to lead, coach, and develop teams
• Excellent communication, analytical, and problem-solving skills
• Valid driver’s license and reliable transportation

Preferred

• Bachelor’s degree in healthcare administration, business, finance, or related field
• Registered Nurse (RN) licensed in Minnesota
• Multi-site management experience
• Private pay home care experience
• Experience preparing for MDH surveys
• Business development or healthcare marketing experience

Core Competencies

• Strategic and financial leadership
• Regulatory and compliance expertise
• Strong business acumen
• Risk management and insurance oversight
• Team development and performance coaching
• Client-centered service excellence
• Data-driven decision making

Work Environment

• Office-based in St. Cloud with travel to satellite offices in Buffalo and Nisswa
• Fast-paced, regulated healthcare environment

Why Join Comfort Keepers?

• Mission-driven organization helping seniors live safely and independently
• Opportunity to lead and grow a multi-site operation (10 licensed staff, 10 office staff, 130 caregivers)
• Comprehensive benefits package including:
  • 168 hours PTO annually
  • 10 paid holidays
  • Medical, Dental, Vision, and Life insurance
  • 401(k) with company match after 1 year
  • On-site lunches
• Strong national brand with local ownership