Clinical Manager – Home Health & Hospice

Company Description

Breakthrough Healthcare is a trusted provider of high‑quality home health services throughout the Greater St. Louis area, including the City of St. Louis and Franklin, Jefferson, St. Charles, and St. Louis Counties. We are committed to delivering personalized, compassionate care that promotes dignity, independence, and improved quality of life for those we serve.

Our services include skilled nursing, therapy services, assistance with daily living, and specialized clinical care. As part of our continued and intentional growth, Breakthrough Healthcare is embarking on the development of hospice services
, building the clinical leadership, compliance infrastructure, and operational systems required to launch this service line with excellence and integrity.

We believe sustainable growth is rooted in faith‑guided leadership, regulatory excellence, and a deep respect for both patients and clinicians
. We are building thoughtfully, with purpose, accountability, and long‑term impact in mind.

This is a full‑time, on‑site Clinical Manager role responsible for overseeing Home Health clinical operations while actively supporting the development and preparation of hospice services at Breakthrough Healthcare.

The Clinical Manager is expected to be physically present on‑site each workday to provide hands‑on clinical leadership, oversight, and support. This role is central to ensuring regulatory compliance, maintaining survey readiness, mentoring clinical staff, and strengthening systems that support high‑quality patient outcomes.

The Clinical Manager will lead with clarity and accountability, supporting clinicians while safeguarding compliance and clinical standards. This position is ideal for a seasoned clinician‑leader who understands that growth must be built correctly the first time and who views leadership as stewardship.

• Provide on‑site clinical leadership for home health operations
• Support the development and launch readiness of hospice services
  , including workflows, policies, and staff preparedness
• Ensure compliance with CMS Conditions of Participation
  , Missouri state regulations, and accrediting standards
• Oversee clinical documentation, chart reviews, care coordination, and case conferences
• Lead and monitor quality improvement initiatives and performance outcomes
• Mentor, train, and support nursing and interdisciplinary clinical teams
• Maintain continuous survey and regulatory readiness
• Address clinical concerns and escalations in real time
• Collaborate with executive leadership to align clinical operations with organizational growth goals

• Demonstrated experience in home health clinical management
• Strong working knowledge of CMS regulations, Conditions of Participation, and survey processes
• Hospice experience strongly preferred
  , particularly in program development, compliance, or leadership
• Proven ability to develop, implement, and sustain clinical and quality systems
• Experience training, mentoring, and holding clinical teams accountable
• Excellent leadership, organizational, and problem‑solving skills
• Bachelor’s or Master’s degree in Nursing, Healthcare Administration, or a related field
• Active Registered Nurse (RN) license in Missouri or compact state licensure required
• Knowledge of therapy services is a plus

At Breakthrough Healthcare, we believe clinical leadership is stewardship
. This role is for a leader who understands that compliance protects patients, structure supports teams, and faith‑centered leadership builds organizations that last. We are seeking someone ready to help shape a culture rooted in purpose, excellence, and thoughtful growth.