Regional Nursing Executive: Multi-State Clinical Leader

Abby Care; Nashville (TN); On-site; USD 180,000 - 240,000; Full time

Job summary

Jobtailor is seeking an experienced regional Clinical Leader to drive multi-state clinical governance and operational excellence in home healthcare. You will coach regional DONs/Administrators, align quality metrics with executive targets, and ensure readiness for CMS, ACHC, and state surveys.

The role requires a BSN, active RN license, multistate eligibility, and 5+ years of progressive leadership in multi-site home health.

Qualifications

• BSN is required and RN license must be active.
• Multistate/Compact license eligibility required with willingness to obtain licensure in additional states within the region.
• 5+ years of progressive home healthcare experience.
• 5+ years of clinical leadership experience in a home health or multi-site setting.
• Demonstrated experience managing multi-site teams and leading agencies through regulatory surveys.

Responsibilities

• Provide strategic, multi-state clinical leadership and operational governance across a designated region.
• Directly manage, coach, and hold local Directors of Nursing/Administrators accountable.
• Aggregate, analyze, and present regional clinical and quality performance metrics to the executive team.
• Translate corporate clinical strategies into standardized operational practices across multiple markets and states.
• Partner with Regional Senior General Managers to align clinical quality with market growth targets.
• Collaborate with HR, Compliance, Finance, and Product/IT teams to optimize operations.
• Oversee regional clinical capacity models for census growth, service line expansions, and geographic surges.
• Standardize onboarding, mentoring, and professional growth pathways for local DONs/Administrators.
• Monitor nursing turnover and burnout trends and implement clinician well-being and engagement strategies.
• Drive regional performance against clinical quality strategy, QA/QAPI initiatives, and utilization benchmarks.
• Review and elevate complex clinical edge cases, high-risk patient events, and severe adverse incidents.
• Lead regional root‑cause analyses and implement systemic corrective adjustments.
• Standardize continuous survey readiness for CMS Conditions of Participation, ACHC/Joint Commission accreditation, and state-specific regulations.
• Oversee preparation for and response to state surveys and federal audits.
• Review and sign off on local Plans of Correction before execution.
• Identify, track, and mitigate legal, financial, and clinical operational risks.
• Partner with Product/IT to reduce clinician documentation burdens and standardize clinical workflows.
• Minimize unwarranted practice variations while ensuring adherence to state nursing practice acts.

Skills

RN License

Multistate/Compact License Eligibility

Clinical Leadership

Multi-site Team Management

Regulatory Surveys Experience

Growth Scaling Experience

Risk Management

Coaching & Mentoring

Documentation Standardization

Education

BSN

Tools

Clinical Capacity Models

Healthcare Compliance Systems

IT Workflow Optimization

Job description

Jobtailor is seeking an experienced regional Clinical Leader to drive multi-state clinical governance and operational excellence in home healthcare. You will coach regional DONs/Administrators, align quality metrics with executive targets, and ensure readiness for CMS, ACHC, and state surveys.

The role requires a BSN, active RN license, multistate eligibility, and 5+ years of progressive leadership in multi-site home health.