General Manager Comfort Keepers Home Care

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