Director of Wound Care

Wound Care Hires; Kentucky; On-site; USD 160,000 - 230,000; Full time

Job summary

Wound Care Hires seeks a Director of Wound Care to lead clinical and operational functions across Kentucky, West Virginia, Ohio, Kansas, and other states with regular facility travel. The role requires maintaining clinical competency in debridement and grafts while setting standards and guiding growth.

You will own the service line KPI dashboard, drive clinical quality, outcomes, and financial performance, and mentor Wound Care NPs while partnering with facility leadership and care teams.

Qualifications

• Active NP license in KY, WV, or OH with multi-state licensure preferred.
• Board certification in Wound Care (WCC/CWCN/CWS or equivalent).
• Minimum 5 years wound care clinical experience with hands-on debridement and graft procedures.
• 2–3 years in leadership, supervision, or program management.
• Experience in skilled nursing, assisted living, or long-term care settings.
• Knowledge of CMS documentation and billing for wound procedures.

Responsibilities

• Provide clinical and procedural oversight of advanced wound care.
• Develop and maintain wound care protocols for assessment, planning, and escalation.
• Oversee diagnostic workups (labs, imaging, cultures) as indicated.
• Manage comorbidity treatment and coordination with other clinicians.
• Mentor wound care NPs and review complex cases.
• Own KPI dashboard and drive performance, documentation, and billing accuracy.

Skills

Clinical leadership

Wound care expertise

Mentorship

KPIs & analytics

Cross-functional collaboration

CMS documentation/billing

Education

Nurse Practitioner (NP) license

Board certification in Wound Care

Tools

KPI dashboards

CPT/HCPCS coding

CMS guidelines

Job description

Director of Wound Care

Job Description

Department: Clinical Director Wound Care
Reports To: Chief Clinical Officer
Location: Multi-state: Kentucky, West Virginia, Ohio, Kansas and others, with regular travel to partnered facilities
Employment Type: Full-Time, Exempt
Direct Reports: Wound Care Nurse Practitioners across the service line

Position Summary

The Director of Wound Care is the clinical and operational leader of the Wound Care service line, one of five core clinical service lines alongside Primary Care, Telehealth, Chronic Care Management (CCM), and Behavioral Health Integration (BHI). This role owns clinical oversight of advanced wound procedures, including debridement and skin graft application, sets and enforces the clinical protocols and quality standards the wound care team operates under, and leads the strategy for growing and improving wound care across partnered skilled nursing, assisted living, and long-term care facilities.

This is a clinical leadership role with direct procedural accountability: the Director is expected to maintain their own clinical competency in advanced wound procedures, provide direct oversight and mentorship to the wound care team performing them, and personally own the KPI dashboard this service line reports against, including procedure volume, clinical outcomes, documentation compliance, and financial performance.

Key Responsibilities

Clinical & Procedural Oversight

• Maintain clinical competency and provide direct oversight of advanced wound care procedures, including debridement (sharp, mechanical, and enzymatic) and skin graft application, ensuring every procedure is performed to clinical standard.

• Establish and maintain clinical protocols for wound assessment, staging, treatment planning, and escalation, aligned with current evidence-based wound care guidelines.

• Ensure appropriate diagnostic workup is ordered for each wound such as labs, vascular studies, imaging, and cultures as clinically indicated, to identify the underlying cause of the wound and any factors impairing healing, rather than treating the wound in isolation.

• Ensure the comorbidities driving wound development and impairing healing (e.g., diabetes, peripheral arterial disease, malnutrition, chronic edema) are recognized and well-managed, coordinating with primary care or specialists when a comorbidity falls outside wound care's own scope.

• Provide direct clinical mentorship and case oversight to wound care NPs including review of complex or non-healing wounds.

• Ensure procedure documentation supports medical necessity, accurate coding, and billing compliance for debridement, grafts, and other advanced wound therapies.
  

Service Line Strategy & Growth

• Own the strategic direction of the Wound Care service line: identifying opportunities to expand coverage into new facilities, add advanced therapies, or improve existing workflows.

• Lead new wound care initiatives from concept through implementation of new treatment protocols, technology/supply partnerships, or care model changes.

• Represent Wound Care in company-wide quarterly business reviews (QBRs), reporting on performance against the service line's KPI dashboard.

• Partner with Telehealth, CCM, and Primary Care leadership to ensure wound care is well-integrated into the broader value-based care model.
  

Team Leadership & Quality

• Directly supervise the wound care clinician team: scheduling, performance management, coaching, and clinical escalation support.

• Own the wound care team's retention strategy, onboarding, and ongoing clinical training, including maintenance of wound care certifications.

• Hold the team accountable to the full wound care KPI dashboard and drive corrective action where performance lags target.

• Serve as the primary point of clinical escalation for facility partners on wound care quality concerns.
  

Required Qualifications

• Active, unrestricted Nurse Practitioner (NP) license in Kentucky, West Virginia, or Ohio; multi-state licensure strongly preferred given the multi-state scope of this role.

• Board certification in Wound Care (e.g., WCC, CWCN, CWS, or an equivalent recognized wound care certification).

• Minimum 5 years of clinical experience in wound care, including hands-on performance of debridement and skin graft procedures.

• Minimum 2-3 years in a clinical leadership, supervisory, or program management role overseeing other clinicians.

• Experience delivering wound care in skilled nursing, assisted living, or long-term care settings.

• Working knowledge of CMS documentation and billing requirements for debridement, skin substitute/graft application, and related advanced wound procedures.
  

Preferred Qualifications

• Prior experience building or scaling a wound care program or service line.

• Familiarity with negative pressure wound therapy, bioengineered skin substitutes, and other advanced modalities.

• Experience presenting clinical or financial performance data to executive leadership (e.g., QBR reporting).

• Background in value-based care or ACO quality metrics.
  

Knowledge & Skills

• Advanced procedural competency: sharp/mechanical/enzymatic debridement, skin graft and skin substitute application, and wound staging/assessment across etiologies (pressure injury, diabetic, venous, surgical).

• Clinical documentation and coding: working fluency in the CPT/HCPCS codes and medical necessity documentation standards for debridement and graft procedures.

• Quality & compliance: comfort operating against a KPI dashboard spanning clinical outcomes, procedure volume, documentation, financial performance, and team health.

• People leadership: coaching, performance management, and a demonstrated commitment to team retention and clinical excellence.

• Cross-functional collaboration: ability to work with facility administrators, DONs, billing/compliance teams, and other service line leaders simultaneously.

• Data fluency: comfortable reviewing procedure, outcome, and financial dashboards, and translating trends into operational and clinical decisions.
  

Key Performance Indicators

The Director of Wound Care is accountable for a KPI dashboard spanning five categories. This mirrors the framework already reported against in the Wound Care Year-End QBR, including the Debridement & Graft metric category.

Procedural Volume & Clinical Quality

• Debridement volume: Total debridement procedures performed, by type (sharp, mechanical, enzymatic) and by clinician.

• Skin graft / skin substitute volume: Total graft and advanced skin substitute applications performed.

• Wound healing rate: % of wounds achieving healing or significant improvement within expected timeframe by wound type.

• Time-to-healing: Average days from initial assessment to healed or discharged status, by wound etiology and stage.

• Pressure injury incidence/prevalence: New (incidence) and existing (prevalence) pressure injury rates across the attributed facility population.

• Complication / infection rate: Rate of wound-related infection or complication following a performed procedure.

• Diagnostic workup completion rate: % of appropriate wounds with vascular studies, labs, imaging, or cultures ordered per protocol to identify the underlying cause.

• Comorbidity management rate: % of patients with a wound-impairing comorbidity (e.g., uncontrolled diabetes, PAD, malnutrition) who have a documented, active management plan for that comorbidity.

Coverage & Operations

• Consult response time: Time from referral/order to first wound care visit.

• Visit frequency compliance: % of patients seen per the visit cadence specified in their wound care protocol.

• Chart closure compliance: % of encounters documented within the 48-hour standard.

Financial & Value-Based Care

• Billing capture rate: % of performed procedures (debridement, graft, etc.) accurately coded and billed.

• Revenue per encounter: Average billed revenue per wound care visit, tracked against service line targets.

• Avoidable hospitalization/ED reduction: Reduction in wound-related hospitalizations or ED visits among the attributed population.

• Contribution to ACO quality metrics: Wound care's contribution to shared quality measures (e.g., supporting overall Annual Wellness Visit completion and care coordination goals).

Team & Retention

• Team turnover rate: Wound care clinician turnover, benchmarked against broader retention targets.

• Time-to-fill open roles: Time to fill open wound care clinician positions.

• Certification compliance: % of wound care clinicians with current, active wound care certification.

Partner & Facility Relations

• Facility satisfaction: Partner-reported satisfaction with wound care responsiveness and clinical quality.

• Service line growth: Number of new facilities or regions added to wound care coverage.
  

Work Environment & Schedule

This role combines clinical field work with program leadership: expect regular travel to partnered facilities across Kentucky, West Virginia, Kansas, Ohio and others to provide direct procedural oversight and mentorship, alongside dedicated time for service line strategy, KPI review, and cross-functional collaboration with other leadership.