Founding General Manager — Build & Scale Home Care

$90K – $105K Base + Uncapped Growth Commissions & Scaling Milestones + Company Car

Amana Assist Home Care – San Diego, CA Full-Time | Start-Up Leadership Role Base Salary: $90,000 – $105,000 + Uncapped Commissions & Scaling Milestones (DOE) + Company Vehicle

Lead, Build, and Scale a Home Care Agency

At Amana Assist, we believe that how you treat people — clients, team members, and partners alike — is the foundation of everything. We're a newly launched non-medical home care agency in San Diego, and we're looking for a founding General Manager who shares that belief and is ready to build something meaningful from the ground up — and who is motivated by a high-upside, performance-driven compensation structure.

This is not a maintain-what-exists role. This is a build-it role. You'll have the autonomy to shape operations, develop referral relationships, grow the client base, and hire a team that reflects our values. If you've been waiting for the chance to lead something from day one — this is it.

Before you read further — this role is not for everyone. In the first 60 to 90 days, you will be the entire operation. There is no team beneath you yet, no department to delegate to, and no corporate support structure to lean on. You will personally handle client intake calls, caregiver recruitment, scheduling, referral outreach, and compliance — simultaneously. If that reality excites you rather than concerns you — read on.

• Business development & referral generation — your #1 priority in Year 1
• Client acquisition: convert referrals from hospitals, case managers, SNFs, and assisted living communities into active care cases
• Home care operations — build workflows, scheduling systems, and quality standards
• Caregiver staffing & scheduling — recruit, hire, onboard, and retain mission-aligned caregivers
• California home care compliance (HCSB) — maintain audit readiness and regulatory adherence
• NEMT (Transportation) integration: Facilitate cross-referrals and coordination between home care and our integrated transportation services. Identify home care clients who may benefit from transportation services and vice versa. The General Manager is not responsible for NEMT operations, staffing, dispatch, or fleet management.
• Technology adoption — utilize scheduling, billing, EVV, and CRM platforms to run a modern, efficient operation

This role operates within a semi-absentee ownership model and requires a leader who can run the day-to-day business independently.

Compensation & Benefits

• Base salary: $90,000 – $105,000 (DOE) — commensurate with your experience building and leading home care operations

• Performance bonus: features uncapped growth commissions, revenue scaling milestones, and a caregiver/client satisfaction metric — we reward the builders who scale sustainably with us

  Here's what that looks like in practice: 3% of all gross revenue from dollar one — uncapped. Plus milestone bonuses at specific client count and revenue targets totaling up to $14,500 in Year 1. An annual performance bonus up to $6,000 tied to client satisfaction, caregiver retention, and operational metrics. In Year 1 based on experience and performance, total compensation lands around $112,000 – $141,000.

• Profit Participation: Once profitable, growth commissions transition into a 10% Uncapped Net Profit Share for long-term wealth building

• Company Vehicle: Branded car for both personal and work use + fuel card/insurance provided; serves as your mobile billboard for the San Diego market

• Health, Dental, Vision, and 401(k)

• Paid Time Off: 3 Weeks (21 Days) PTO — providing the necessary balance to recharge during high-growth startup phases

• Cell Phone Stipend: $100/month

• Professional Development: Initial and ongoing training and professional development opportunities — we invest in your leadership and industry expertise

• Strategic Career Path: As the agency scales, this role evolves into a senior executive position; once established, you will transition into a strategic/expansion role (Business Development & New Markets) and hire an Operations Manager to lead the team beneath you

About Amana Assist

Amana Assist provides non-medical in-home care services focused on:

• Personal care & companionship
• Dementia and specialty care
• Wellness-focused home care
• Technology-enabled care solutions

We are a modern, tech-forward home care agency integrating:

• Scheduling & billing systems
• Family communication tools
• Smart home and safety solutions

Our caregivers are registered and trained in specialized care programs, delivering a higher standard of care.

The Mission: Build, Scale, and Lead

As our Founding GM, you are the architect of Amana Assist. You will own the end-to-end lifecycle of the agency — from designing the HCSB-compliant workflows to leading the strategic networking that secures our initial market share.

Key Responsibilities

Phase 1: Startup Architecture & Business Development

• Build the Blueprint: Design and implement foundational systems, workflows, and operational processes from the ground up to ensure a scalable startup
• Lead Market Entry: Identify and establish high-value referral relationships with regional hospitals, case managers, and senior living communities
• Revenue Generation: Drive new client acquisition, conduct initial assessments, and manage the "start of care" process to ensure immediate growth
• Integrated Service Strategy: Represent both home care and transportation services in your referral conversations and partnerships — NEMT operations are owner-supported

Phase 2: Staffing & Operational Excellence (The Administrator Role)

• Recruitment Funnel: Architect and lead the caregiver recruitment, interviewing, and onboarding pipeline to build a high-quality "Founding" staff
• Regulatory Compliance: Serve as the legal Administrator; ensure 100% audit readiness and strict adherence to California Home Care Services Branch (HCSB) regulations
• Operational Oversight: Oversee daily operations, manage caregiver scheduling and training, implement supervision protocols to ensure high staff retention and client satisfaction
• Technology Mastery: Implement and manage our tech stack (Scheduling, Billing, EVV, CRM) and use data-driven reporting to monitor agency performance

Minimum Qualifications

• 5+ years of Home Care management or operations experience
• California Compliance Familiarity: Strong working knowledge of California HCSB non-medical home care regulations and audit readiness — whether from a formal Administrator role or equivalent hands-on experience
• The "Builder" Requirement: Experience launching, growing, or managing a home care agency or service line from the ground up
• Growth Mindset: Strong background in business development, referral networking, or professional sales within the home care industry
• Tech Proficiency: High familiarity with home care software (SwyftOps, WellSky, AxisCare, etc.)
• Leadership Grit: Ability to work independently while managing operations, staffing, and growth simultaneously in a fast-paced environment

Who This Role Is For

This role is ideal for a high-performing operator who is ready to stop maintaining someone else's agency and start building their own legacy. You thrive in high-responsibility environments and are motivated by uncapped performance incentives and long-term ownership of the agency's success.

Why Join Amana Assist

We started Amana Assist because we believe seniors and individuals with disabilities deserve more than just adequate care — they deserve to flourish. That belief shapes how we operate, who we hire, and how we treat our team.

• Be the architect of something that matters — you'll build a team and operation that directly improves lives in San Diego
• Earn real upside for what you build — performance bonus tied to growth, client satisfaction, and caregiver retention
• Work in a modern, values-driven agency — we lead with compassion, operate with integrity, and embrace technology to deliver better care
• Grow with us — as the agency scales, so does your role, your team, and your impact

Our Culture & Leadership Philosophy

Amana Assist is built on a foundation of traditional, professional ethics. We view our business as a stewardship and are looking for a leader who shares our commitment to:

• Uncompromising Integrity: We believe in the "sanctity of truth." We value the expensive truth over a convenient lie and expect absolute honesty in all reporting, billing, and communications.
• The Dignity of the Individual: We believe every individual — client, team member, and partner — possesses inherent worth. We lead with honor and a service-hearted mindset, fostering a workplace of mutual respect for all.
• Professional Honor: We uphold a culture of high character. This includes respectful conduct, professional language, and a deep reverence for the diverse personal convictions and traditions of the employees we lead and the families we serve.

Apply Today

If you are a seasoned home care operator who has successfully launched and scaled agencies from the ground up and you're ready to do it again — this time for your own legacy — we want to talk. We aren't looking for a manager to follow a manual; we're looking for the architect who has written the manual before.

Apply today and tell us about the last agency you built from zero.