Senior Director, Clinical Services, Long Term Care

Position Overview

Organization: Sienna Senior Living

Title: Senior Director, Clinical Services, Long Term Care

Reports To: Vice President, Quality & Clinical Services

Team: 11

Location: Hybrid. Head office is at: 302 Town Centre Blvd, Markham, Ontario. The successful candidate will visit the head office roughly 1x a week and will be in the field conducting site visits 3x a week. Moderate travel (a week a month every 2-3 months) to Ottawa, Alberta, British Columbia will be required.

Compensation: $135,000-$165,000 plus fulsome benefits including RRSP match, STIP (annual), LTIP, vacation. Compensation will be determined commensurate with experience.

Use of AI:

AI is not currently utilized at any stage of the hiring process.

Is This You?

Are you a clinical leader who is energized by the opportunity to influence quality and care delivery at scale? Do you have the experience of leading across a complex, multi-jurisdictional Long-Term Care and Continuing Care environment, while balancing national consistency with the realities of individual communities? Are you comfortable setting expectations for clinical performance, resident safety and quality outcomes while holding leaders accountable for delivering against them?

Do you thrive in highly regulated environments where clinical excellence and regulatory readiness go hand in hand? Can you interpret evolving regulatory requirements, translate them into practical guidance, and build systems that keep communities’ inspection-ready, not simply when an inspection is approaching, but as part of a culture of continuous quality improvement? Are you confident using clinical data, quality indicators and regulatory findings to identify trends, prioritize opportunities and drive meaningful improvement?

Most importantly, are you a trusted clinical partner and people leader who can influence without relying solely on authority? Can you lead, coach and develop a team of Clinical Care Partners while building strong relationships with operational and clinical leaders across the organization? If you are motivated by the opportunity to strengthen safe, effective and person-centered care for residents across a national network, and are ready to bring both strategic perspective and operational discipline to that challenge, this could be the opportunity for you. Interested? Read on.

The Organization

Sienna Senior Living (Sienna) is a purpose driven organization, and they believe it is a privilege to serve Canada’s seniors, ensuring they live fulfilling lives with the utmost comfort, dignity and respect.   They aspire to cultivate an environment and culture where their ~14,500 team members feel valued, heard and empowered to do meaningful work. Sienna is a publicly traded company (TSX: SIA) and one of Canada’s leading owners and operators of seniors’ residences with high quality assets in Ontario, Saskatchewan, Alberta and British Columbia.

Serving ~12,000 residences, Sienna offers a full range of seniors’ living options including independent living (Aspira Retirement Living), assisted living, memory care, long-term care and specialized programs and services. They currently operate 42 long-term care communities (6,572 beds), 40 retirement residences (4,575 suites), and 12 managed residences (1,362 beds/suites).

At Sienna, they empower their team members across Ontario, British Columbia, Saskatchewan and Alberta to help our residents live the life they desire and deserve.  Their purpose is simple: to cultivate happiness in daily life! 

What Sienna Offers: They aspire to cultivate an environment and culture where team members feel valued, heard and empowered to do meaningful work.  They offer a number of programs and benefits that support team members’ financial, personal and professional needs:  

• A competitive compensation and vacation package
• Employer Paid Health & Dental Benefits
• RRSP with Company Match
• Share Ownership and Reward Program (SOAR)
• Employee Share Purchase Plan with Company Match
• Continuous learning and growth so you have the skillset needed to succeed and take on new challenges
• A welcoming culture that values diversity and differing perspectives, experiences and beliefs

The Position

Reporting to the Vice President, Quality & Clinical Services, and overseeing a team of 11, the Senior Director, Clinical Services Long-term & Continuing Care provides operational leadership and oversight of clinical performance, regulatory compliance, and quality outcomes across Long-Term Care (LTC) and Continuing Care communities nationally.

This role is accountable for ensuring consistent, high-quality clinical care delivery across a complex, multi-jurisdictional, highly regulated environment. Through leadership of the Clinical Care Partner team, the Senior Director ensures communities are supported to meet and exceed regulatory requirements, maintain inspection readiness, and deliver safe, effective, and person-centered care.

Key Accountabilities

• Provide leadership and oversight of clinical performance across all LTC and Continuing Care communities nationally.
• Ensure consistent delivery of safe, high-quality, and person-centered care aligned with organizational standards and regulatory requirements.
• Monitor clinical indicators, performance trends, and emerging risks, ensuring timely intervention and support.
• Support communities in achieving and sustaining strong outcomes in clinical programs including but not limited to falls, medication safety, responsive behaviours, continence, and skin and wound care.
• Ensure consistent interpretation and application of regulatory requirements across LTC and Continuing Care environments.
• Support accreditation and sustainment activities. Provide resources and expertise to maintain accreditation survey readiness.
• Ensure Clinical Care Partners are effectively deployed and conducting site visits in alignment with defined service level agreements and quality assurance expectations.
• Support the development, coaching, and performance management of Clinical Care Partners.
• Collaborate with Executive Directors and Directors of Care to address complex clinical, regulatory, and operational challenges.
• Support the implementation of enterprise clinical programs, standards, and quality frameworks within communities.
• Partner with the Senior Director, Quality & Clinical Programs to support the development and ongoing refinement of Resident Care and Quality & Risk manuals for LTC and CC.

The Ideal Candidate

• Bachelor’s degree in nursing (Master’s preferred).
• Must be registered with the College of Nurses of Ontario. Willing to obtain registration with other provincial nursing colleges.
• Minimum of 10 years’ progressive leadership experience in healthcare, preferably within Long-Term Care and/or Continuing Care environments.
• Valid driver’s license and access to a vehicle.
• Ability to travel across Canada to conduct in-person site visits.
• Demonstrated experience managing clinical operations within highly regulated healthcare settings.
• Ideally will have knowledge of regulatory frameworks across BC, Alberta, and Ontario.
• Must have complex, multi-site oversight experience, ideally having overseen 30+ sites within one province – accountability for a large, complex portfolio with geographical spread.
• Experience leading teams responsible for compliance, inspections, and clinical performance improvement.
• Strong operational leadership and execution focus.
• Deep understanding of regulatory compliance and inspection processes.
• Ability to lead and influence in complex, multi-site environments.
• Strong analytical and problem-solving skills with a focus on risk identification and mitigation.
• Excellent stakeholder engagement and relationship management skills.

Application Instructions

Preston Human Capital Group has been retained by Sienna Senior Living to conduct this executive search. If you would like to be considered as a candidate for the Senior Director, Clinical Services, Long Term Care opportunity, please email your application to Lindsay Preston, Managing Partner (lindsay@phcap.ca). Please include:

1. A Cover Letter, not exceeding one page.
2. An accurate and complete CV, outlining your career achievements.

Please note, the application deadline is September 27, 2026, at 5pm ET.

Sienna Senior Living and Preston Human Capital Group are committed to employment equity, diversity, and inclusion in the workplace.  In accordance with provincial regulations, upon request, support will be provided for accommodation throughout the recruitment, selection, and assessment process.

Requests for accommodation can be made at any stage of the recruitment process providing the applicant has met the requirements for the role and requirements have been made known. If you require accommodation, please make this known to Lindsay Preston.

We thank you for your interest in the opportunity. Please note that only those who meet the hiring criteria will be contacted. Applications will be reviewed on a rolling basis.