Salary:
$115,000.00 - $125,000.00 Annually Location :
Murray Hill Campus (Mount Morris, New York) Job Type:
Full-Time Job Number:
202500950 Department:
CNR/Fiscal 0104 Opening Date:
11/24/2025 Closing Date:
5/24/2026 11:59 PM Eastern
Description To apply for this position, please go to: RESIDENCY-
Candidates must have been legal residents of the following jurisdiction(s) for at least four months immediately preceding the date of the application: Livingston County, or One of the following Counties: Allegany, Genesee, Monroe, Ontario, Steuben or Wyoming The work involves responsibility for overseeing and performing a variety of accounting and business management duties related to financial management, payroll and data processing functions of the Livingston County Center for Nursing and Rehabilitation (LCCNR). The work is performed under the general direction of the Director of Long Term Care with considerable latitude given for the exercise of independent judgment. Supervision is exercised over subordinate employees engaged in accounting and clerical duties. The Deputy Director for Finance does related work as assigned.
Examples of Duties
Advises LCCNR administration on financial matters and prepares reports on cash flow, budgets and/or grants; Oversees the preparation and maintenance of financial records, including general ledgers and journals; Oversees the preparation of monthly financial statements and reports for federal, state and local agencies; Oversees the third party billing to health insurance providers, Medicare and Medicaid; Devises procedures to ensure maximum third party reimbursement; Oversees the reporting of LCCNR expenses, revenues, vouchers/bills and reimbursements; Reviews LCCNR grant expenditures and claims; Oversees LCCNR payroll operation to ensure accuracy and completeness; Establishes, implements, monitor and evaluates annual department goals, objectives, and action plans; Supervises and trains assigned accounting and clerical staff; Represents the LCCNR in financial matters relating to contract agencies, federal, state and local agencies; Implements and monitors an effective cash management program; Assures that LCCNR cash balances are sufficient for timely payment for goods and services; Ensures that LCCNR billing and accounts receivable functions are carried out in an effective and timely fashion; Prepares forecasts on the impact of changes in Medicare/Medicaid reimbursement formulas and facility-initiated changes which affect rates, e.g., case mix intensity, etc; Assures protection of the assets of LCCNR through internal control, internal auditing and proper insurance coverage; Maintains an up-to-date understanding of all third-party payment programs related to long term care; Ensures that internal and third-party audits are completed within the required time frame, and that necessary follow-up on issues and recommendations is done; Oversees the tracking, management and purchasing of equipment and office supply inventory; Serves as the contact person for audits and financial compliance checks; and Performs other related duties as assigned.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS : Thorough knowledge of modern accounting, fiscal management and auditing practices, procedures and techniques including budgeting and appropriations; thorough knowledge of methods used in keeping financial accounts and records; good knowledge of cost accounting systems and practices; good knowledge of supervisory principles and techniques; good knowledge of modern office terminology, practices and procedures; ability to apply knowledge in performance of duties; ability to plan, direct, supervise and accept responsibility for the work of others; ability to train and supervise employees; ability to get along well with subordinates and peers and to secure their cooperation; ability to establish and maintain effective working relationships with others; ability to analyze, organize data, prepare and present clear and accurate reports and budgets; ability to communicate effectively both orally and in writing; ability to understand and follow oral and written instructions; ability to prepare and present complex oral and written reports; ability to use a computer for accounting, budget preparation and spread sheets; good judgment; resourcefulness in the solution of complex problems; initiative and resourcefulness; tact and courtesy; physical condition commensurate to the demands of the position. Typical Qualifications
Applicants must meet all requirements for one of the following qualification options in order to be approved for examination and/or appointment:
Qualification Option #
1
2
Training/Education
Possession of a Master's degreein accounting, business administration, economics or another directly related field with successful completionof 18 credit hours in accounting.Possession of a Bachelor's degree(1) in accounting, business administration, economics or another directly related field with successful completion(2) of 18 credit hours in accounting. General experience
Three years of full-time, paid accounting experience in health care finance, focused on budgeting, forecasting and reimbursement areas, including third party insurance billing, budget preparation or financial reporting. The accounting shall involve double entry accounting systems and accrual accounting systems.Five years of full-time, paid accounting experience in health care finance, focused on budgeting, forecasting and reimbursement areas, including third party insurance billing, budget preparation or financial reporting. The accounting shall involve double entry accounting systems and accrual accounting systems. Supervisory experience
Two years of the above experience must have been in a supervisory/managerial capacity.Three years of the above experience must have been in a supervisory/managerial capacity. License/ Certification
N.A. Other requirements None required. Part-time service will be given prorated credit toward experience requirements.
Deputy Director for Finance, C in all divisions Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at You must pay the required evaluation fee.
Successfully completed means the applicant achieved a grade of at least 2.0.
Supplemental Information
PROVISIONAL APPOINTMENT NOTICE: An individual who receives a provisional appointment must take the examination for the position title on the next occasion it is offered. In order to be eligible for a permanent appointment to the position, the provisional appointee must pass the exam and be ranked 1, 2, 3, or be tied in score with the individual ranked number 3 of those who are willing to accept appointment to the position. It should be understood that even if the provisional appointee is eligible for appointment, the employer may choose another candidate to fill the position on a permanent basis. Questions regarding provisional appointments should be directed to the Livingston County Human Resources Department.
NOTE:
Livingston County residency is not a requirement for this position. However, Livingston County residents will be given preference in the hiring process. Livingston County offers a robust benefits package for our employees.
This includes a variety of health insurance options, dental insurance paid fully by the County, paid vacation leave, paid holidays, ability to participate in a deferred compensation program, wellness offerings, and more.
For full details view the benefits guide here:
$115,000.00 - $125,000.00 Annually Location :
Murray Hill Campus (Mount Morris, New York) Job Type:
Full-Time Job Number:
202500950 Department:
CNR/Fiscal 0104 Opening Date:
11/24/2025 Closing Date:
5/24/2026 11:59 PM Eastern
Description To apply for this position, please go to: RESIDENCY-
Candidates must have been legal residents of the following jurisdiction(s) for at least four months immediately preceding the date of the application: Livingston County, or One of the following Counties: Allegany, Genesee, Monroe, Ontario, Steuben or Wyoming The work involves responsibility for overseeing and performing a variety of accounting and business management duties related to financial management, payroll and data processing functions of the Livingston County Center for Nursing and Rehabilitation (LCCNR). The work is performed under the general direction of the Director of Long Term Care with considerable latitude given for the exercise of independent judgment. Supervision is exercised over subordinate employees engaged in accounting and clerical duties. The Deputy Director for Finance does related work as assigned.
Examples of Duties
Advises LCCNR administration on financial matters and prepares reports on cash flow, budgets and/or grants; Oversees the preparation and maintenance of financial records, including general ledgers and journals; Oversees the preparation of monthly financial statements and reports for federal, state and local agencies; Oversees the third party billing to health insurance providers, Medicare and Medicaid; Devises procedures to ensure maximum third party reimbursement; Oversees the reporting of LCCNR expenses, revenues, vouchers/bills and reimbursements; Reviews LCCNR grant expenditures and claims; Oversees LCCNR payroll operation to ensure accuracy and completeness; Establishes, implements, monitor and evaluates annual department goals, objectives, and action plans; Supervises and trains assigned accounting and clerical staff; Represents the LCCNR in financial matters relating to contract agencies, federal, state and local agencies; Implements and monitors an effective cash management program; Assures that LCCNR cash balances are sufficient for timely payment for goods and services; Ensures that LCCNR billing and accounts receivable functions are carried out in an effective and timely fashion; Prepares forecasts on the impact of changes in Medicare/Medicaid reimbursement formulas and facility-initiated changes which affect rates, e.g., case mix intensity, etc; Assures protection of the assets of LCCNR through internal control, internal auditing and proper insurance coverage; Maintains an up-to-date understanding of all third-party payment programs related to long term care; Ensures that internal and third-party audits are completed within the required time frame, and that necessary follow-up on issues and recommendations is done; Oversees the tracking, management and purchasing of equipment and office supply inventory; Serves as the contact person for audits and financial compliance checks; and Performs other related duties as assigned.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS : Thorough knowledge of modern accounting, fiscal management and auditing practices, procedures and techniques including budgeting and appropriations; thorough knowledge of methods used in keeping financial accounts and records; good knowledge of cost accounting systems and practices; good knowledge of supervisory principles and techniques; good knowledge of modern office terminology, practices and procedures; ability to apply knowledge in performance of duties; ability to plan, direct, supervise and accept responsibility for the work of others; ability to train and supervise employees; ability to get along well with subordinates and peers and to secure their cooperation; ability to establish and maintain effective working relationships with others; ability to analyze, organize data, prepare and present clear and accurate reports and budgets; ability to communicate effectively both orally and in writing; ability to understand and follow oral and written instructions; ability to prepare and present complex oral and written reports; ability to use a computer for accounting, budget preparation and spread sheets; good judgment; resourcefulness in the solution of complex problems; initiative and resourcefulness; tact and courtesy; physical condition commensurate to the demands of the position. Typical Qualifications
Applicants must meet all requirements for one of the following qualification options in order to be approved for examination and/or appointment:
Qualification Option #
1
2
Training/Education
Possession of a Master's degreein accounting, business administration, economics or another directly related field with successful completionof 18 credit hours in accounting.Possession of a Bachelor's degree(1) in accounting, business administration, economics or another directly related field with successful completion(2) of 18 credit hours in accounting. General experience
Three years of full-time, paid accounting experience in health care finance, focused on budgeting, forecasting and reimbursement areas, including third party insurance billing, budget preparation or financial reporting. The accounting shall involve double entry accounting systems and accrual accounting systems.Five years of full-time, paid accounting experience in health care finance, focused on budgeting, forecasting and reimbursement areas, including third party insurance billing, budget preparation or financial reporting. The accounting shall involve double entry accounting systems and accrual accounting systems. Supervisory experience
Two years of the above experience must have been in a supervisory/managerial capacity.Three years of the above experience must have been in a supervisory/managerial capacity. License/ Certification
N.A. Other requirements None required. Part-time service will be given prorated credit toward experience requirements.
Deputy Director for Finance, C in all divisions Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If your degree was awarded by an educational institution outside the United States and its territories, you must provide independent verification of equivalency. A list of acceptable companies who provide this service can be found on the Internet at You must pay the required evaluation fee.
Successfully completed means the applicant achieved a grade of at least 2.0.
Supplemental Information
PROVISIONAL APPOINTMENT NOTICE: An individual who receives a provisional appointment must take the examination for the position title on the next occasion it is offered. In order to be eligible for a permanent appointment to the position, the provisional appointee must pass the exam and be ranked 1, 2, 3, or be tied in score with the individual ranked number 3 of those who are willing to accept appointment to the position. It should be understood that even if the provisional appointee is eligible for appointment, the employer may choose another candidate to fill the position on a permanent basis. Questions regarding provisional appointments should be directed to the Livingston County Human Resources Department.
NOTE:
Livingston County residency is not a requirement for this position. However, Livingston County residents will be given preference in the hiring process. Livingston County offers a robust benefits package for our employees.
This includes a variety of health insurance options, dental insurance paid fully by the County, paid vacation leave, paid holidays, ability to participate in a deferred compensation program, wellness offerings, and more.
For full details view the benefits guide here: