Director Of Nursing - Home Health RN

Serenity Home Healthcare Inc.; Cedar Rapids (IA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Professional development

Leadership opportunities

Job summary

Serenity Home Healthcare Inc. seeks an experienced Director of Clinical Services to lead our home health clinical operations, ensuring high-quality patient care and compliance with Medicare regulations.

You will oversee nursing, therapy, and other clinical disciplines, partnering with leadership to drive patient outcomes and growth. The role requires strong clinical leadership, extensive home health experience, and expertise in OASIS, documentation, and regulatory readiness, with opportunities

Qualifications

• Current, unrestricted Registered Nurse (RN) license in the state of practice.
• BSN preferred; equivalent education and experience may be considered.
• 3–5 years nursing experience, with significant home health experience.
• Prior clinical leadership, supervisory, or management experience required.
• Strong working knowledge of Medicare-certified home health regulations and Conditions of Participation.
• Experience with OASIS assessments, home health documentation, care planning, and clinical quality improvement.
• Familiarity with QAPI, infection prevention, survey readiness, and clinical audit processes.
• Experience with electronic medical records and home health clinical software.
• Strong organizational, communication, problem-solving, and decision-making skills.
• Ability to manage competing priorities, lead multidisciplinary teams, and meet regulatory deadlines.

Responsibilities

• Provide leadership and supervision to clinical personnel, including RNs, LPNs, therapists.
• Oversee delivery of safe, patient-centered home health services.
• Ensure comprehensive patient assessments and individualized plans of care.
• Monitor patient outcomes, readmissions, and clinical indicators.
• Provide clinical guidance for complex patient care situations.
• Ensure timely clinical documentation, orders, and discharge planning.
• Promote effective communication among clinicians, physicians, patients, and families.

Skills

Home health leadership

OASIS experience

Medicare regulations

EMR proficiency

Clinical documentation

Communication skills

Problem solving

Team leadership

Education

BSN preferred

Nursing degree or equivalent

Tools

EMR systems

Home health software

Job description

We are seeking an experienced, motivated, and patient-focused Registered Nurse to serve as our Director of Clinical Services for our home health agency. This leadership role is responsible for overseeing clinical operations, ensuring high-quality patient care, maintaining regulatory compliance, and supporting the professional development of our clinical team.The ideal candidate is a strong clinical leader with extensive home health experience, a thorough understanding of Medicare regulations, and a passion for helping patients remain safe and independent in their homes.

Position Summary

The Director of Clinical Services provides overall leadership and oversight of the agency's clinical services, including nursing, therapy, and other applicable clinical disciplines. This position ensures that patient care is delivered in accordance with physician orders, individualized plans of care, applicable federal and state regulations, and agency policies and procedures.

The Director of Clinical Services collaborates with the Administrator and leadership team to achieve clinical excellence, operational efficiency, positive patient outcomes, and organizational growth.

Essential Duties and Responsibilities Clinical Leadership and Patient Care

• Provide leadership, direction, and supervision to clinical personnel, including Registered Nurses, Licensed Practical Nurses, therapists, and other clinical staff, as applicable.
• Oversee the delivery of safe, effective, and patient-centered home health services.
• Ensure comprehensive patient assessments, timely reassessments, and accurate development and implementation of individualized plans of care.
• Monitor patient outcomes, hospitalization rates, readmissions, and other key clinical indicators.
• Provide clinical guidance and support for complex patient care situations and changes in patient condition.
• Ensure timely completion of clinical documentation, physician orders, care coordination, and discharge planning.
• Promote effective communication among clinicians, physicians, patients, caregivers, and other members of the healthcare team.

Regulatory Compliance and Quality Assurance

• Ensure compliance with applicable Medicare Conditions of Participation, state licensing requirements, and other relevant federal and state regulations.
• Oversee clinical documentation audits, chart reviews, and corrective action plans.
• Monitor compliance with OASIS assessment requirements, submission timelines, and applicable documentation standards.
• Lead or participate in Quality Assurance and Performance Improvement (QAPI) activities.
• Prepare for and support regulatory surveys, audits, accreditation reviews, and other compliance activities.
• Develop, implement, and monitor clinical policies, procedures, and standards of practice.
• Identify areas of clinical risk and implement strategies to improve patient safety and reduce deficiencies.
• Ensure appropriate infection prevention and control practices, incident reporting, and emergency preparedness procedures.

Staff Management and Development

• Recruit, interview, onboard, and retain qualified clinical personnel.
• Provide orientation, ongoing education, competency assessments, and performance evaluations.
• Establish clear expectations for clinical productivity, documentation timeliness, and quality standards.
• Address performance concerns, provide coaching, and implement corrective action when necessary.
• Maintain appropriate clinical staffing and ensure personnel meet applicable qualification and competency requirements.
• Foster a professional, collaborative, and accountable work environment.

Operational and Financial Oversight

• Collaborate with the Administrator to establish and achieve clinical and operational goals.
• Monitor clinical productivity, staffing utilization, and resource allocation.
• Support census growth while maintaining appropriate staffing levels and quality standards.
• Monitor key performance indicators and develop improvement strategies.
• Assist with budget planning, clinical resource management, and operational initiatives.
• Support referral development and coordination with hospitals, physicians, facilities, and community partners.
• Participate in leadership meetings and provide regular reports on clinical performance, compliance, and patient outcomes.

Qualifications

• Current, unrestricted Registered Nurse (RN) license in the state of practice.
• Bachelor's degree in Nursing (BSN) preferred; equivalent education and experience may be considered.
• Minimum of three to five years of nursing experience, with significant experience in home health care.
• Prior clinical leadership, supervisory, or management experience required.
• Strong working knowledge of Medicare-certified home health regulations and Conditions of Participation.
• Experience with OASIS assessments, home health documentation, care planning, and clinical quality improvement.
• Familiarity with QAPI, infection prevention, survey readiness, and clinical audit processes.
• Experience with electronic medical records and home health clinical software.
• Strong organizational, communication, problem-solving, and decision-making skills.
• Ability to manage competing priorities, lead multidisciplinary teams, and meet regulatory deadlines.

Preferred Qualifications

• Previous experience as a Home Health Clinical Director, Director of Nursing, or Clinical Manager.
• Experience preparing for state, federal, or accreditation surveys.
• Knowledge of Medicare home health quality measures, outcome improvement, and value-based purchasing programs, when applicable.
• Experience developing clinical teams, improving documentation quality, and reducing avoidable hospitalizations.

Key Performance Expectations

Performance will be evaluated based on the achievement of established clinical and operational goals, including:

• Clinical documentation accuracy and timeliness.
• OASIS accuracy and assessment completion compliance.
• Patient satisfaction and quality outcomes.
• Avoidable hospitalization and readmission rates.
• QAPI performance improvement initiatives.
• Regulatory compliance and audit readiness.
• Staff retention, competency, and productivity.
• Timely completion of physician orders and plan-of-care requirements.
• Effective clinical oversight and risk management.

What We Offer

• Competitive compensation based on qualifications and experience.
• Comprehensive benefits package, including health insurance and paid time off, subject to company policy.
• Leadership opportunities and professional development.
• A collaborative leadership team and supportive work environment.
• The opportunity to make a meaningful difference in the lives of patients and families.