Director of Nursing DON

Job Description

We are actively seeking an experienced Director of Nursing (DON) for a Medicare-certified Home Health Agency serving Miami-Dade and Monroe Counties. This is a high-impact HYBRID RN LEADERSHIP ROLE responsible for clinical oversight, OASIS management, QA/Performance Improvement, Medicare and CHAP compliance, clinical supervision, operational coordination, and supporting census growth and referral relationships. Ideal for an experienced Home Health DON, Home Health RN, Clinical Supervisor, or Clinical Manager seeking a flexible leadership role within a growing organization offering autonomy, flexibility, and long-term growth opportunity.

• Oversee timely admission and reassessment of patient needs.
• Provide clinical oversight of skilled nursing services in the home setting.
• Supervise RNs, LPNs, and contracted clinicians.
• Complete or oversee OASIS assessments (SOC, ROC, Recertification, Discharge).
• Review and approve Plan of Care (CMS Form 485) and physician orders.
• Ensure timely submission of NOA and OASIS validation reports.
• Provide ongoing clinical guidance and support to field staff.
• Conduct supervisory visits and clinical assessments as needed.
• Ensure compliance with Medicare Home Health standards.

• Oversee QAPI program and performance improvement initiatives.
• Conduct chart audits and clinical documentation reviews.
• Ensure compliance with Medicare Conditions of Participation (CoPs).
• Support CHAP, AHCA, CMS survey readiness and regulatory compliance.
• Maintain accurate and timely clinical documentation.

• Coordinate staffing based on census needs.
• Support onboarding, orientation, and clinical training.
• Provide mentorship and performance feedback to clinical staff.
• Approve patient assignments and supervise field clinicians.

• Ensure compliance with Medicare-certified Home Health regulations.
• Maintain adherence to CHAP and Florida AHCA standards.
• Support billing and documentation integrity.
• Maintain survey readiness and policy compliance.

• Collaborate with leadership on census growth initiatives.
• Support clinical excellence to strengthen referral relationships.
• Assist in building scalable clinical workflows and systems.

• Majority of administrative duties performed remotely.
• Occasional field visits for supervision, oversight, and direct patient care as needed.
• Flexible scheduling based on agency and patient needs.
• High autonomy leadership role.

• Active Florida RN license (required).
• Home health DON or clinical leadership experience.
• Strong knowledge of Medicare CoPs and OASIS.
• Experience with CHAP/ACHC/state survey readiness.
• Background in QAPI, audits, and quality improvement.
• Leadership, mentoring, and staff supervision skills.
• Strong communication and organizational abilities.
• Proven experience in Home Health Care, with at least 1 year of experience.
• Bilingual in English and Spanish.