Director of Nursing: Hospice - Columbus, Ohio

MissionHires; Columbus (OH); On-site; USD 120,000 - 180,000; Full time

Job summary

MissionHires is seeking a Director of Nursing to provide 24/7 leadership for hospice nursing quality, safety, and regulatory readiness. You will oversee clinical standards, documentation integrity, staff development, and corrective actions while partnering with executive, medical, and quality leadership.

The role requires active Ohio RN licensure, ASN/BSN, CPR/First Aid, and 3+ years hospice experience with leadership exposure.

Qualifications

• Active Ohio RN license required.
• ASN/BSN required or equivalent.
• CPR/First Aid certification.
• Minimum 3 years of hospice experience.
• At least 1 year of leadership experience preferred.
• Strong knowledge of Medicare Hospice Conditions of Participation.

Responsibilities

• Serve as clinical authority for Medicare COPs, CMS guidance, ODH requirements, accreditation standards, and policies.
• Maintain survey readiness through policy oversight, audits, and staff education.
• Lead preparation for state and federal surveys, audits, and complaint investigations.
• Develop and monitor Plans of Correction as needed.
• Lead hospice QAPI activities with data review and performance improvement actions.
• Oversee medical-record audits and provide feedback and remediation.
• Ensure nursing documentation supports eligibility, level of care, interventions, and services billed.
• Collaborate with leadership on staffing models and on-call coverage.

Skills

Hospice leadership

Regulatory compliance

QAPI programs

Clinical documentation

Staff coaching

Regulatory knowledge

Education

Associate degree in Nursing

Bachelor of Science in Nursing

Job description

MissionHires is seeking a clinically strong and compliance-focused Director of Nursing to provide 24/7 leadership and accountability for hospice nursing quality, safety, regulatory compliance, and survey readiness. This leader will oversee clinical standards, QAPI activities, documentation integrity, staff development, and corrective action initiatives while partnering with executive, medical, and quality leadership.

Responsibilities:

• Serve as the hospice’s clinical authority for Medicare Conditions of Participation, CMS guidance, Ohio Department of Health requirements, accreditation standards, and organizational policies.
• Maintain continuous survey readiness through policy oversight, staff education, proactive audits, and regulatory monitoring.
• Lead preparation for and participation in state and federal surveys, audits, complaint investigations, and related responses.
• Develop, implement, and monitor Plans of Correction when required.
• Monitor CMS guidance and regulatory changes and translate requirements into operational practices in collaboration with the Executive Director.
• Lead hospice QAPI activities, including data review, trend analysis, performance improvement initiatives, and measurable corrective actions.
• Oversee routine and targeted medical-record audits; provide clear feedback, education, follow-up, and remediation.
• Ensure nursing documentation supports hospice eligibility, level of care, skilled interventions, utilization, and services billed.
• Ensure individualized plans of care are developed, implemented, and evaluated in alignment with Medicare Conditions of Participation.
• Participate in interdisciplinary team meetings, with emphasis on clinical appropriateness, timely communication, documentation integrity, and regulatory alignment.
• Ensure patient rights, informed consent, ethical standards, infection control, safety, and risk-management practices are consistently upheld.
• Supervise, educate, evaluate, coach, and discipline RNs, LPNs, and STNAs in accordance with organizational policy.
• Ensure staff competency in hospice regulations, documentation standards, quality expectations, and compliant clinical practice.
• Collaborate with leadership on staffing models, scheduling, and on-call coverage while maintaining regulatory compliance.
• Participate in a 24/7 Administrator on Call rotation and provide clinical support for admissions, patient deaths, and complex clinical situations as needed.
• Review patient-care-related billing concerns to ensure alignment between services provided and supporting documentation.
• Support budgetary guidelines while prioritizing quality, patient safety, and compliance.
• Monitor and report incidents, hazards, adverse events, accidents, and unsafe conditions in accordance with policy.
• Follow applicable Ohio Department of Health, Columbus Health Department, CDC, OSHA, infection-control, universal precautions, exposure-control, sanitation, and safety procedures.
• Perform other duties as assigned.

Requirements:

• Current Registered Nurse license in the state of Ohio.
• Associate degree or Bachelor of Science degree in Nursing or a related field.
• Current CPR/First Aid certification.
• Minimum of 3 years of hospice experience.
• At least 1 year of leadership experience preferred.
• Knowledge of Medicare Hospice Conditions of Participation and interpretive guidelines.
• Strong knowledge of hospice eligibility requirements and clinical documentation standards.
• Demonstrated ability to lead QAPI programs, chart audits, corrective action plans, and performance improvement initiatives.
• Strong analytical, risk-assessment, and attention-to-detail skills.
• Ability to coach staff and hold team members accountable for regulatory-compliant practice.
• Clear and professional written and verbal communication skills.
• Calm, decisive leadership during surveys, audits, and complaint investigations.
• Ability to routinely lift up to 25 pounds, push or pull up to 50 pounds, and stand for an entire shift.
• Ability to work in an environment with potential exposure to infections, diseases, falls, equipment burns, injuries, odors, and needle sticks.