Business Manager; Home Health

Home Health Works is looking for a Business Manager to lead the day-to-day operations, HR function, and growth strategy of our home care agency. This is a hands-on leadership role for someone who wants real ownership over outcomes - not a back-office administrator and not a commission-based sales rep.

You'll run the business side of the agency: keeping the office humming, growing our private pay and VA Community Care Network census through referral relationships, leading HR from recruiting through retention, keeping us compliant and audit-ready, and spearheading the launch of our new skilled nursing service line.

• Operations: Oversee daily office operations, staff, vendors, and business systems; support billing, AP/AR, and payroll coordination; keep records audit-ready.
• Business Development: Build and own referral relationships with hospitals, physician practices, facilities, and case managers to grow private pay and VA census; track and report pipeline results to ownership.
• Skilled Nursing Launch: Lead activation of our skilled nursing license — licensure, staffing, workflows, billing, and referral demand — from planning to go-live.
• Human Resources: Own recruiting, onboarding, and retention for field and administrative staff; maintain compliant personnel files; manage benefits, employee relations, and policy enforcement.
• Compliance: Serve as operational compliance lead for AHCA licensure, HIPAA, VA/AAA contract requirements, and employment law.
• Financial Oversight: Partner with ownership on budgeting and reporting; monitor KPIs like census, revenue, payroll ratio, and turnover; support accurate billing and collections.

• High school diploma required; associate's or bachelor's degree in business, healthcare administration, or related field preferred.
• 3-5+ years in business management, office administration, or healthcare operations, including supervisory or HR experience.
• Home care, home health, or other healthcare setting experience required.
• Track record building referral relationships, growing census, or launching a new service line (skilled nursing experience a strong plus).
• Familiarity with AHCA, HIPAA, and VA/AAA contract compliance preferred.
• Proficiency with Microsoft Office and business systems (scheduling, EHR, Quick Books or similar).
• Must pass a Level 2 background screening.

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off (PTO)

• Schedule: Full-time, 40+ hrs/week, generally 9am-5pm Monday-Friday, with occasional extra hours as needed.
• Location: Office-based in Clearwater, FL, with regular local travel throughout Pinellas and Pasco counties for partner visits and community events.