Director of Nursing

Advantage Recruiting Group; Raleigh (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Advantage Recruiting Group in Raleigh, NC seeks a Clinical Director – Home Care to lead our clinical team, oversee client assessments and care plans, and ensure NC DHHS home care compliance. This hands-on RN leadership role drives quality, caregiver support, and regulatory excellence across services.

The ideal candidate has 3+ years in home care, strong leadership, and a BSN preferred; expects collaboration across departments and participation in after-hours on-call rotation to sustain

Qualifications

• Active NC RN license required or in process.
• BSN preferred level of education.
• Experience leading clinical teams in home care settings.
• Strong knowledge of NC DHHS home care regulations.
• Ability to develop and oversee care plans and assessments.

Responsibilities

• Provide clinical oversight and supervision across all service areas.
• Conduct initial client assessments, supervisory visits, wellness visits, and reassessments.
• Develop and oversee individualized plans of care with updates for regulatory compliance.
• Monitor changes in clients’ conditions and communicate with families and healthcare partners.
• Coordinate clinical updates and handoffs with Care Coordination and Scheduling teams.
• Ensure compliance with NC DHHS home care regulations and incident reporting.
• Develop and maintain clinical policies and quality assurance processes.
• Lead caregiver onboarding, training programs, and annual competency assessments.
• Collaborate with leadership to support growth and high-quality care.
• Participate in nursing after-hours on-call rotation.

Skills

Nursing leadership

Regulatory knowledge

Patient assessments

Care planning

Team leadership

Communication

Organizational skills

Education

BSN preferred

Active NC RN license

Tools

Microsoft Office

Google Workspace

Job description

We're Hiring: Clinical Director – Home Care

We’re looking for an experienced Registered Nurse to be our Director of Clinical Services in the Triangle. You’ll lead our clinical team, set the standard for client care plans and assessments, keep us compliant with NC DHHS home care rules, and help the agency grow. If you love working with seniors and want a leadership role where you can see your impact, we’d like to meet you.

This is a hands-on clinical leadership opportunity for a Registered Nurse who combines strong clinical judgment, regulatory knowledge, team leadership, and a passion for improving client outcomes.

The ideal candidate will bring experience in home care, home health, or case management, with the ability to oversee client assessments, care planning, clinical quality assurance, caregiver training, and regulatory compliance. This individual will play a key role in strengthening clinical processes, supporting caregivers, and ensuring clients receive safe, personalized, and consistent care.

Key Responsibilities

Clinical Leadership & Client Care

• Provide clinical oversight and supervision across all Golden Harmony service areas.
• Conduct initial client assessments, supervisory visits, wellness visits, and ongoing reassessments.
• Develop and oversee individualized plans of care, ensuring appropriate updates and compliance with regulatory requirements.
• Monitor changes in clients' physical and emotional conditions and ensure timely communication with families and healthcare partners.
• Coordinate clinical updates and handoffs with Care Coordination and Scheduling teams.

Regulatory Compliance & Quality Assurance

• Ensure compliance with North Carolina Department of Health and Human Services (NC DHHS) home care regulations.
• Oversee incident reporting, including required reporting to the Health Care Personnel Registry.
• Develop, implement, and maintain clinical policies and procedures.
• Establish quality assurance processes, including care plan audits, incident reviews, high-risk client monitoring, and corrective action plans.
• Maintain clinical documentation standards and promote continuous quality improvement.

Caregiver Training & Development

• Partner with the Director of Team Experience to develop caregiver onboarding, training programs, in-services, and annual competency assessments.
• Establish clinical competency standards and validate client-specific caregiver skills.
• Participate in new hire orientation and conduct caregiver skills assessments.
• Provide ongoing clinical education, staff training, and individualized coaching.

Client Experience & Cross-Functional Collaboration

• Partner with the Director of Care Coordination to investigate and resolve clinical concerns and client grievances.
• Monitor clinical quality indicators and client feedback to support high client satisfaction and retention.Establish and monitor clinical KPIs related to productivity, quality of care, and client outcomes.
• Collaborate with leadership to support sustainable business growth through timely assessments, appropriate clinical recommendations, and high-quality care.
• Participate in the nursing after-hours on-call rotation.

Qualifications & Requirements

• Active, unencumbered North Carolina Registered Nurse (RN) license – required.
• Bachelor's degree in Nursing (BSN) preferred.
• Minimum of 3 years of experience in home care, home health, or case management.
• Previous clinical supervisory or leadership experience preferred.
• Demonstrated experience conducting patient assessments and developing individualized care plans.
• Working knowledge of North Carolina home care regulations and clinical compliance requirements.
• Strong leadership, communication, critical thinking, and organizational skills.
• Ability to manage multiple priorities and collaborate across departments.
• Proficiency in Microsoft Office and Google Workspace.
• Valid driver's license and reliable transportation for client visits throughout the service area.
• Ability to meet baseline and annual TB screening requirements.