Regional Director of Clinical Services

The Judge Group; Chester (VA); On-site; USD 120,000 - 180,000; Full time

Job summary

The Judge Group seeks a Regional Director of Clinical Services to lead clinical excellence across Virginia and Washington, DC, supervising multiple skilled nursing and long-term care facilities and partnering with facility leadership.

You will guide regional clinical initiatives, ensure CMS and state regulatory compliance, oversee quality outcomes, and support survey readiness while traveling across the region to drive sustainable improvements.

Qualifications

• BSN required and RN license active.
• 5+ years of nursing leadership in skilled nursing or LTC.
• Experience with CMS regulations and survey readiness.
• Ability to travel frequently within VA and DC.

Responsibilities

• Provide clinical and operational oversight for multiple facilities.
• Lead and mentor Regional Clinical Consultants.
• Collaborate with Administrators and Directors of Nursing to improve quality and compliance.
• Manage survey readiness and corrective action processes.
• Drive regional quality initiatives and performance improvement.
• Foster staff development and leadership succession.

Skills

Nursing leadership

Regulatory compliance

CMS survey readiness

Staff coaching & development

Education

BSN

RN license (VA or compact state)

Job description

Regional Director of Clinical ServicesLocation

Virginia (primarily) & Washington, DC (occasionally) Region (Field-Based)

Overview

We are seeking an experienced Regional Director of Clinical Services to provide strategic clinical leadership and operational oversight across a portfolio of skilled nursing and long-term care facilities in Virginia and Washington, DC. This role is responsible for driving clinical excellence, regulatory compliance, quality outcomes, and operational performance across multiple locations.

The Regional Director will lead a team of Regional Clinical Consultants and partner closely with Administrators, Directors of Nursing, and facility leadership teams to improve performance, support regulatory readiness, and implement sustainable quality improvement initiatives. This position is well-suited for a clinical leader with experience turning around underperforming facilities, preparing teams for state and federal surveys, and developing high-performing nursing leadership teams.

What You'll Do

Clinical Leadership & Operations

• Provide clinical and operational oversight for multiple skilled nursing and long-term care facilities.
• Lead and mentor Regional Clinical Consultants to support facility-level clinical teams.
• Partner with Administrators and Directors of Nursing to improve quality, compliance, and operational performance.
• Conduct routine facility assessments and performance reviews to identify risks and opportunities for improvement.
• Develop and implement regional clinical initiatives, policies, and best practices.
• Provide hands‑on support to facilities facing significant clinical, staffing, regulatory, or quality challenges.

Regulatory Compliance & Survey Readiness

• Ensure compliance with CMS regulations, state regulations, and organizational policies.
• Lead survey preparation activities and support facilities during state and federal surveys.
• Oversee corrective action planning and deficiency management.
• Monitor infection prevention, medication management, documentation practices, and resident care processes.
• Identify compliance risks and implement sustainable improvement strategies.

Quality Improvement

• Drive measurable improvements in resident outcomes and clinical quality indicators.
• Monitor key performance metrics, including infection control, wound care, pressure injury prevention, medication management, and survey outcomes.
• Analyze trends, audits, and incident reports to identify root causes and implement corrective actions.
• Collaborate with facility leadership to develop and execute performance improvement plans.
• Ensure consistent implementation of evidence‑based clinical practices across the region.

Facility Turnaround & Performance Improvement

• Lead stabilization and turnaround efforts within underperforming or newly acquired facilities.
• Assess clinical operations, staffing, leadership effectiveness, and regulatory compliance.
• Develop facility‑specific action plans with defined goals, timelines, and accountability measures.
• Monitor progress and ensure corrective actions result in sustainable performance improvements.
• Foster a culture of accountability, continuous improvement, and resident‑centered care.

Leadership & Team Development

• Coach and develop Directors of Nursing and other nursing leaders.
• Support leadership succession planning and talent development initiatives.
• Identify staffing and competency gaps and collaborate on workforce solutions.
• Promote clinical education, training, and professional development programs.
• Build strong relationships with facility leadership, nursing teams, residents, and families.

Minimum Qualifications

• Bachelor's degree in Nursing (BSN).
• Active, unrestricted Registered Nurse (RN) license in Virginia or a compact state.
• 5+ years of nursing leadership experience within skilled nursing, long-term care, or post-acute care settings.
• Experience overseeing multiple facilities or serving in a regional clinical leadership role.
• Demonstrated success improving quality outcomes, survey performance, and regulatory compliance.
• Experience leading teams through state and federal surveys and corrective action planning.
• Strong knowledge of CMS regulations, long-term care operations, and clinical best practices.
• Proven leadership, team development, and change management skills.
• Valid driver's license and ability to travel regularly throughout the assigned region.

Preferred Qualifications

• Multi‑site skilled nursing or long‑term care leadership experience.
• Experience supporting facility turnarounds and performance improvement initiatives.
• Strong background in survey readiness, quality assurance, and regulatory compliance.
• Experience developing and mentoring Directors of Nursing and nursing leadership teams.

Travel Requirements

• Frequent travel to facilities throughout Virginia and Washington, DC.
• Ability to provide on‑site support during surveys, performance improvement initiatives, and other operational priorities.

Key Success Factors

• Ability to improve clinical and operational performance across multiple facilities.
• Strong survey readiness and regulatory compliance expertise.
• Proven success leading organizational change and turnaround initiatives.
• Excellent coaching, communication, and relationship‑building skills.
• Data‑driven approach to quality improvement and accountability.