Executive Director (RN) – Home Health Leader, CA

Assurance Home Care; Sacramento (CA); On-site; USD 125,000 - 140,000; Full time

Job summary

Assurance Home Care in California is seeking an Executive Director/Administrator (RN) to lead the licensed Home Health Agency. You will oversee regulatory compliance, clinical operations, and financial performance, guiding the team through surveys, accreditation visits, and CMS audits.

The successful candidate will have 3–5 years of CA home health operations leadership, an active RN license, and an eligible Home Health Administrator certificate or ability to obtain within 90 days.

Qualifications

• Bachelor’s degree in Nursing required.
• Active California RN license required.
• Home Health Administrator certificate or ability to obtain within 90 days of hire.
• Minimum 3–5 years of home health operations management experience in California.

Responsibilities

• Oversee regulatory and clinical compliance (California focus).
• Ensure compliance with California Health & Safety Code, Title 22, and Medicare CoPs.
• Lead governance liaison and maintain valid California home health license.
• Oversee OASIS accuracy, Plan of Care integrity, and clinical operations.
• Direct daily operations: intake, scheduling, billing and HR.
• Develop policies compliant with California labor laws (meal breaks, time pay).
• Manage branch growth strategy and market share in CA region.
• Oversee P&L, budgeting, and revenue cycle management.
• Monitor Medicare margins and payor mix for California plans.
• Supervise Clinical Manager, Therapy Supervisor, and admin leads.

Skills

Regulatory & clinical compliance

Leadership & staff management

Operations management

Financial oversight & budgeting

Regulatory audits & surveys

Education

Bachelor’s degree in Nursing

Home Health Administrator certificate

RN license (CA BRN)

Job description

Assurance Home Care in California is seeking an Executive Director/Administrator (RN) to lead the licensed Home Health Agency. You will oversee regulatory compliance, clinical operations, and financial performance, guiding the team through surveys, accreditation visits, and CMS audits.

The successful candidate will have 3–5 years of CA home health operations leadership, an active RN license, and an eligible Home Health Administrator certificate or ability to obtain within 90 days.