Senior Director of Nursing

Jobtailor

Nashville (TN)

On-site

USD 180,000 - 240,000

Full time

6 days ago

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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

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

Requirements

Bachelor of Science in Nursing (BSN) required
Current, unrestricted Registered Nurse (RN) license
Multistate/Compact license eligibility required
Willingness to obtain licensure in additional states within the region as necessary
Minimum of 5+ years of progressive home healthcare experience
5+ years of clinical leadership experience in a home health or comparable multi‑site setting
Demonstrated experience managing multi‑site teams
Experience leading agencies through state/federal regulatory surveys
Experience scaling clinical operations during rapid growth
Successful completion of a background check
Satisfactory references
Any required documentation

Core Competencies

Demonstrates expertise in clinical leadership and operational governance across multi‑state healthcare settings, with a strong focus on quality performance metrics, regulatory compliance, and team management. Proven ability to implement strategic clinical practices and optimize operations in alignment with organizational growth targets.

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