We are seeking an experienced and motivated Director of Clinical Services (RN) to oversee clinical operations, ensure regulatory compliance, improve patient outcomes, and support the growth of our Medicare Home Health services.
The ideal candidate will have strong clinical leadership skills, extensive knowledge of Medicare Home Health regulations and OASIS requirements, and experience managing interdisciplinary clinical teams. This individual will be responsible for maintaining high standards of patient care, ensuring accurate clinical documentation, and promoting operational efficiency across the organization.
Key Responsibilities:
1. Clinical Leadership and Operations
- Oversee daily clinical operations to ensure the delivery of high-quality home health services.
- Supervise, mentor, and evaluate nursing and therapy personnel.
- Ensure timely completion of Start of Care (SOC), Resumption of Care (ROC), Recertification, and Discharge assessments.
- Monitor clinical staffing, patient care coordination, visit schedules, and continuity of care.
- Provide clinical guidance and support to field staff as needed.
2. Regulatory Compliance and Documentation
- Ensure compliance with Medicare Conditions of Participation, applicable state regulations, accreditation standards, and agency policies.
- Oversee the accuracy, completeness, and timely submission of OASIS assessments.
- Review clinical documentation, physician orders, plans of care, and patient assessments.
- Conduct regular chart audits and implement corrective actions to address documentation deficiencies.
- Ensure appropriate documentation of Medicare eligibility, homebound status, and medical necessity for skilled services.
- Maintain compliance with applicable clinical documentation and reporting requirements.
3. Quality Assurance and Performance Improvement
- Lead and participate in Quality Assurance and Performance Improvement (QAPI) initiatives.
- Monitor patient outcomes, hospitalization rates, clinical performance, productivity, and quality measures.
- Identify areas for improvement and develop action plans to address performance gaps.
- Promote adherence to clinical standards, evidence-based practices, and patient safety protocols.
- Support survey readiness, internal audits, and regulatory inspections.
4. Staff Development and Performance Management
- Recruit, train, develop, and retain qualified clinical personnel.
- Establish performance expectations and monitor staff productivity and clinical quality.
- Provide ongoing education on regulatory updates, OASIS requirements, documentation standards, and clinical best practices.
- Address performance concerns and support professional development.
- Foster a collaborative, accountable, and patient-centered clinical culture.
5. Interdepartmental Collaboration and Growth
- Collaborate with Intake, Scheduling, Operations, and Business Development to coordinate admissions and clinical staffing.
- Work with physicians, hospitals, rehabilitation facilities, and referral partners to facilitate effective patient transitions.
- Ensure clinical resources and staffing are aligned with patient needs and agency capacity.
- Support sustainable business growth while maintaining regulatory compliance and quality of care.
- Partner with executive leadership to improve operational efficiency and achieve organizational goals.
Required Qualifications
- Active, unrestricted Registered Nurse (RN) license in the State of Florida.
- Minimum of three years of clinical experience in Medicare-certified Home Health preferred.
- Previous experience in a clinical leadership role, such as Director of Clinical Services, Clinical Manager, Patient Care Manager, or equivalent.
- Strong knowledge of Medicare Home Health regulations, OASIS requirements, and clinical documentation standards.
- Experience supervising and managing interdisciplinary clinical teams.
- Proficiency with electronic medical records (EMR) and clinical documentation systems.
- Strong leadership, organizational, communication, and problem-solving skills.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
Preferred Qualifications
- Demonstrated experience in clinical operations management within a Medicare-certified Home Health agency.
- Knowledge of applicable Florida Agency for Health Care Administration (AHCA) requirements and accreditation standards.
- Experience with QAPI programs, clinical audits, survey preparation, and performance improvement initiatives.
- Proven ability to improve patient outcomes, staff performance, and operational efficiency.
- Clinical leadership and sound judgment
- Regulatory compliance and quality management
- Staff supervision, coaching, and development
- Accountability and attention to detail
- Effective communication and collaboration
- Strategic planning and operational problem-solving
- Commitment to patient safety and quality care