General Manager

Here at Home Healthcare is a locally owned in-home care agency in Chesterfield. We compassionately support clients and their families at home across the St. Louis area, with companionship, personal care, and recovery support. We're hiring a full-time General Manager to run the agency day to day and take over the operations work one of our owners handles today.

You'll lead our office team (a Senior Care Manager, a Care Coordinator, and a Care Assistant) and our caregivers, and you'll be the person families and staff reach when something needs a decision.

Take the first call from every family who inquires, and guide them from the assessment to the first shift

Talk with families about schedules, start dates, and pricing, and send the onboarding paperwork

Handle family concerns and billing questions the same day they come in

Interview caregiver candidates and run background checks and drug tests

Review hours and run payroll in Gusto twice a month, and manage invoicing in QuickBooks

Cover the overnight on-call and be the direct contact for serious situations

Manage our CareScout network partnership, including new family referrals

Read the office team's daily reports and join the weekly admin meeting as needed

Days 1-30: work alongside our owner and learn how we run

By day 60: own family intake and caregiver hiring

By day 90: own payroll, CareScout, and the overnight on-call

2+ years running daily operations at a non-medical home care or home health agency, including scheduling, caregivers, and families

Comfort with Gusto and QuickBooks, or similar payroll and accounting tools

Missouri residency

A clean criminal background (a background check is part of hiring)

An RN license is not required

Full-time, salaried, $60,000 to $70,000 a year

Hybrid, St. Louis area

Reports to the owners

We're planning to add benefits and paid time off in 2027

Here at Home Healthcare is a family-owned home care agency serving St. Louis and surrounding communities, including Farmington, Rolla, Cuba, and Troy. We provide non-medical, in-home care: companionship, personal care, meal preparation, light housekeeping, and medication reminders. We're your neighbors for in-home care, not a corporate chain. Every family who starts with us begins with a complimentary in-home assessment by one of our nurses, and every caregiver we hire is one of our own W2 employees.