Regional Director RN-Home Care

Act for Health, Inc; Farmington (NM); On-site; USD 90,000 - 135,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k)

Company Paid Short Term Disability

Flexible Spending Account (FSA)

Health Savings Account (HSA)

Paid Time Off

Voluntary Benefits

Job summary

Professional Case Management in the United States seeks a Director of Nurse Case Management to lead a team delivering safe, high-quality home health care. You will oversee regional operations, manage staff, budgeting, and ensure compliance with clinical policies and performance improvement initiatives.

The role emphasizes collaboration with clinicians, data reporting, and maintaining 24-hour RN coverage while focusing on patient outcomes, cost control, and satisfaction across regions.

Qualifications

• RN license in the applicable state and an unblemished record.
• BSN or MSN preferred.
• Minimum five (5) years nursing experience including home care or closely related service.
• Minimum of three (3) years of management experience preferred.

Responsibilities

• Independently manage and direct a team of Nurse Case Managers to ensure safe, effective home care services.
• Oversee regional operations, budgeting, and performance improvement activities.
• Review productivity and ensure 24-hour RN coverage and on-call quality.
• Collaborate with clinicians and administration to align priorities and resources.

Skills

Leadership

Communication

Analytical skills

Team collaboration

Travel requirement

Home health knowledge

Education

Registered Nurse license

BSN/MSN preferred

Job description

Qualifications

• Graduate of a state-approved school of professional nursing


• Current unblemished and unrestricted license as a Registered Nurse in the state(s) of practice


• BSN or MSN preferred


• Minimum of five (5) years nursing experience including home care or closely related service


• Minimum of three (3) years of management experience preferred


• One to two (1-2) years case management experience preferred


• Complies with accepted professional standards and practice


• Excellent communication (verbal and written), interpersonal and leadership skills, and strong business acumen.


• Demonstrates organizational, facilitative and assertiveness skills, flexibility and the ability to work effectively in teams.


• Strong analytical skills and ability to summarize and present data and statistics.


• Knowledge of home care federal and state regulations


• Knowledge of reimbursement sources and documentation requirements within home health care


• Current CPR certification


• Ability to travel


• Licensed driver with clean driving record and insured in accordance with state and/or Agency requirements.

Essential Functions/Areas of Accountability

Independently Manage and direct a team of Nurse Case Managers ensuring safe, effective, and appropriate home care services. Oversee the management and fiscal affairs for the assigned region. Coordinate and ensure performance improvement activities for assigned regions and is a member of the performance improvement committee. Recommend region-specific performance improvement activities indicated from review of occurrences and others performance indicators. Report complaints and grievances, occurrences, and infections per Company policy. Review Company policies and procedures and recommend changes or revisions as needed and disseminate policy changes to assigned personnel. Receive client referrals, determine services required and Agency’s ability to meet those requirements. Assign appropriate clinical personnel to clients. Meet with case managers/clinical personnel on a regular basis to provide guidance, information related to specific issues, and education. Provide direction to teams to ensure that client needs are met and services are provided according to the plan of care. Assure supplies and equipment are available and maintained in working order. Assist clinical personnel in establishing priorities, setting goals, and evaluating progress toward goals. Attend case conferences and other clinical meetings to facilitate coordination of care as indicated. Collaborate with administration to establish departmental priorities and budgetary needs. Keep any local contracts current. Review productivity of clinical personnel monthly. Ensure 24-hour coverage by registered nurses and evaluates quality of on-call services. Develop working relationships with other health care professionals in the community in order to identify resources available and to ensure access to client information Provide support and direction to clinical personnel, other health care professionals, contractors, volunteers, clients, and families related to appropriate and available health care resources. Educate and assure staff, contractors and volunteers comply with clinical services, policies, and procedures. Coordinate provision of continuing education programs. Facilitate problem-solving sessions to enable case managers and other personnel to resolve client and/or reimbursement source issues. Stay current on available community resources, health care costs, and industry trends through self-education and access to outside educational opportunities. Ensure accuracy, completeness, and timeliness of agency and clinical documentation in accordance with policies and procedures, regulatory requirements, and industry standards. Monitor clinical records of open and closed cases regularly, and participates in quarterly clinical record review. Provide leadership to team and support staff in identifying /client needs and opportunities for quality improvement. Assist with marketing, public relations, and discharge planning by participating in departmental meetings. Assist performance improvement teams with data collection and other activities performed as part of the annual performance improvement plan. Review data to ensure accuracy and consistency with requirements. Communicate with clinicians and provide training as indicated to achieve compliance with collection and reporting timelines. Assures personnel, contractors and volunteers are currently credentialed by the state in which they work Identify and implement changes in clinical and/or operational practice based on the findings of the performance improvement program. Assures current written policies and procedures are accessible to personnel, contractors and volunteers during hours of operation Interpret and enforce human resource policies and procedures in a fair and consistent manner. Assist in the development of personnel qualifications, and in screening and interviewing of new personnel and make hiring recommendations to human resources. Assist in the orientation of new personnel. Conduct timely performance evaluations in accordance with policy. Provide on-site supervision per policy and as needed to determine staff competency and to respond to educational and developmental needs. Follow guidelines for disciplinary actions, documenting such actions in accordance with policies and legal guidelines. Monitor employee turnover, overtime, and absenteeism and take appropriate actions to address problems/issues. Collaborate with human resources/staffing to ensure proper staffing of qualified, competent personnel. Demonstrate knowledge of infection prevention and control practices by complying with policies and regulatory requirements. Assess safety of environment and take the initiative to help prevent accidents and promote safety and a safe environment. Recognize and respond appropriately to potentially unsafe situations. Designate in writing an alternate to act in their absence. Perform other duties as assigned.

Salary

The typical base pay range for this role is USD $90,100 - $134,800 per year. Individual base pay depends on various factors, in addition to primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience, skills and other market-based factors.

Benefits

• Medical


• Dental


• Vision


• 401(k)


• Company Paid Short Term Disability


• Flexible Spending Account (FSA)


• Health Savings Account (HSA)


• Paid Time Off


• Voluntary Benefits

Professional Case Management is an Equal Opportunity Employer.

At Professional Case Management (PCM), our mission drives us. We have a growing team of over 4,000 employees who are passionate about delivering care that enhances the quality of life of clients in the most healing of environments – the home. We believe that aligning genuine, caring team members with this purpose is life-changing for clients, customers, and teammates alike. And it’s our goal to consistently stretch ourselves – and the organization – to ensure we’re always learning, growing, and elevating our standards of service. In everything we do, we share a strong set of core values: We Work As A Team, We Do The Right Thing, We Figure It Out, We Pursue Growth, and We Take Ownership. PCM has been an industry leader in delivering specialized in‑home care and other services to clients for over 30 years. Our Home Care division is the nation’s premier Home Healthcare provider to former nuclear weapons and uranium workers, upholding the highest standards of care through accreditation by the Accreditation Commission of Health Care (ACHC).