Director of Nursing

We are a growing, non-Medicare-certified home health agency primarily serving children and adults with disabilities through skilled and non-skilled home and community-based services. We are seeking an experienced, dependable, and proactive Registered Nurse (RN) Director of Nursing to lead and strengthen our clinical operations as we continue to grow.

Our current census and clinical team structure provides our DON with the opportunity to become genuinely familiar with our clients, their families, field staff, and individual clinical needs while helping us develop the systems and clinical infrastructure needed for continued growth. This is an excellent opportunity for an RN who wants to help strengthen and grow a clinical department rather than simply inherit an established corporate system.

The Director of Nursing (DON) is responsible for the overall clinical leadership, supervision, quality, coordination, and delivery of nursing services provided by the agency.

This is a hands-on working leadership position designed for a growing home health agency with private-duty nursing, skilled nursing, and affiliated community clients.

The DON is expected to independently manage day-to-day clinical operations, maintain familiarity with active patients and their care needs, support field staff, perform assessments and supervisory visits when needed, and ensure clinical issues are identified, followed through, and resolved.

The successful candidate must be proactive, organized, clinically strong, comfortable working both in the office and field, and capable of taking true ownership of the agency's clinical operations.

Administrator

The DON will:

• Assume primary responsibility for day-to-day clinical operations.

• Maintain working knowledge of the agency's active patients, diagnoses, care needs, risks, medications, behavioral considerations, treatment plans, and significant changes in condition.

• Serve as the primary clinical escalation point for field nurses, caregivers, patients, families, case managers, and other members of the care team.

• Independently investigate and resolve routine clinical concerns.

• Determine when matters require escalation to the Administrator, physician, emergency services, payer, or other appropriate entity.

• Monitor changes in patient condition and ensure appropriate follow-up occurs.

• Coordinate continuity of care across nursing staff, providers, case managers, families, pharmacies, DME providers, and other members of the care team.

The DON will:

• Perform or coordinate initial nursing assessments, reassessments, recertifications, resumptions of care, supervisory visits, and discharge assessments as applicable.

• Complete and/or review Plans of Care and ensure they accurately reflect current patient needs and authorized services.

• Review clinical referrals and determine whether the agency can safely and appropriately meet the patient's needs.

• Review available clinical documentation before admission and identify missing information.

• Obtain and follow up on physician/APRN/PA orders and signatures as applicable.

• Track expiring Plans of Care, orders, certifications, and other time-sensitive clinical documentation.

• Ensure ordered visit frequencies and services are consistent with authorizations and the current Plan of Care.

• Coordinate with the authorization/intake team when additional clinical documentation is required to support initial or continued authorization.

For patients receiving services in affiliated community settings, the DON will:

• Maintain detailed familiarity with each patient's clinical condition, medications, treatments, behavioral considerations, risks, appointments, and current care needs.

• Conduct routine clinical rounds and supervisory visits.

• Review MARs/TARs and other clinical records for completeness and accuracy as applicable.

• Follow up on abnormal findings, changes in condition, medication concerns, wounds, falls, hospitalizations, emergency-room visits, and other clinical events.

• Participate in and prepare for MDT meetings and case conferences.

• Communicate effectively with parents/guardians, physicians, case managers, pharmacies, specialists, and other providers.

• Ensure clinical recommendations and action items identified during MDTs or appointments are completed and documented.

The DON will:

• Conduct routine clinical documentation and chart audits reviewing nursing documentation for completeness, accuracy, timeliness, medical necessity, Plan-of-Care compliance, and consistency with authorized services.

• Track recurring documentation errors and provide staff education or corrective coaching.

• Review admission, recertification, resumption-of-care, discharge, supervisory, and other applicable clinical documentation.

• Work with billing and administrative staff to resolve clinical documentation deficiencies that prevent clean…