Clinical Executive Director

Clinical Executive Director – Pediatrics (RN)

Location:

Rochelle Park, NJ.

Travel required:

New York (Manhattan & Long Island) and Connecticut offices. Salary: $120,000–$130,000 annually (Based on experience).

Affirmed Home Care, a premier concierge private‑pay home care agency, is expanding its Pediatric Division and is seeking an experienced, dynamic, and motivated Clinical Executive Director (RN) to lead pediatric clinical operations across New Jersey, New York, and Connecticut.

This position is based in Rochelle Park, New Jersey, with regular travel to our Manhattan, Long Island, and Connecticut offices to provide clinical leadership, operational oversight, staff development, and support continued growth throughout the Pediatric Division.

The Clinical Executive Director will oversee pediatric clinical operations, supervise skilled nursing teams, manage high‑acuity and VIP pediatric cases, ensure regulatory compliance, and partner with leadership to deliver exceptional patient and family‑centered care.

• Active Registered Nurse (RN) license
• 5+ years of pediatric home care leadership experience preferred
• Ability to travel between NJ, NY, and CT offices
• Flexibility to support occasional evenings and weekends as business needs require

• Lead the Pediatric portion of daily stand‑up meetings; collect and present updates from staff unable to attend
• Provide nursing updates during team huddles, with emphasis on high‑revenue and skilled nursing case needs
• Provide direction, competency, coaching, and real‑time problem‑solving support to nursing team members
• Provide immediate support for urgent clinical or operational matters

• Oversee both caregiver and skilled nursing pediatric cases to ensure service excellence
• Provide hands‑on clinical support for cases designated as VIP priority
• Ensure all assessments, start‑of‑care visits, and routine visits are completed as scheduled
• Monitor nursing staff compliance with visit requirements and ensure corresponding progress notes are completed
• Ensure nurses are scheduled to be at start of cares and needed visits
• Manage a caseload of pediatric clients along with supervising and supporting NY and CT pediatric nurses

• Ensure timely completion and accuracy of clinical documentation, including:
  • 485s (Plans of Care)
  • IPOs (Interim Physician Orders)
  • Assessments and visit notes
• Ensure corrections are completed promptly in response to compliance or QA review
• Ensure supervisions and reports are being provided to staff
• Review start of care and discharge documentation for completeness and compliance
• Conduct regular self‑audits of clinical charts to ensure adherence to DOH standards and agency policy

• Participate in QA/QAPI meetings and initiatives
• Review overdue and upcoming assessments to ensure compliance with regulatory timelines
• Monitor infection control reporting and ensure timely submission by nursing staff
• Ensure incident reports are completed, reviewed, and escalated appropriately
• Track and trend documentation, compliance, and performance issues, implementing corrective actions as needed

• Participate in and/or oversee orientation for new nursing staff
• Support ongoing competency validation and clinical education initiatives
• Assist in the vetting and evaluation of pediatric staff to ensure clinical competency and alignment with agency standards

• Manage and track all insurance authorizations, reauthorizations, and Single Case Agreements (SCAs) to ensure uninterrupted patient services.
• Monitor authorization utilization and proactively initiate renewals prior to expiration to prevent gaps in care.
• Coordinate with physicians, hospitals, discharge planners, case managers, and insurance representatives to obtain and maintain required approvals.
• Prepare, complete, and submit Letters of Medical Necessity (LMNs) and all supporting clinical documentation required for authorization requests, appeals, and continued service approvals.
• Review…