Sr Director of Home and Community Based Services

Westminster-Canterbury on Chesapeake Bay; Virginia Beach (VA); On-site; USD 150,000 - 190,000; Full time

Job summary

Westminster-Canterbury on Chesapeake Bay seeks a Sr Director of Home and Community Based Services to provide leadership across Home Health, Hospice, and Home Care programs. This role oversees operations, strategic direction, regulatory compliance, and financial performance while guiding staff and patient experiences.

Reporting to the President of Senior Options & WCAH, the role requires strong P&L skills, board collaboration, and partnership with clinical and finance teams to ensure

Qualifications

• Bachelor’s degree in Nursing or Healthcare Administration and Virginia RN license.
• Experience in Medicare/Regulatory environments and leadership roles.
• Proven ability to manage multiple lines of service (home health, hospice, home care).
• Strong financial oversight and budget management skills.

Responsibilities

• Provide day-to-day oversight of Home Health, Hospice, and Home Care operations.
• Ensure successful coordination across service lines for patient transitions and continuum of care.
• Develop and monitor KPIs including census, admissions, visit utilization, and productivity.
• Lead budget development and financial performance across programs.
• Collaborate with billing, finance, and compliance to ensure clean claims and regulatory adherence.
• Oversee policy development and readiness for surveys and accreditation.

Skills

Leadership

Strategic direction

Operations management

Regulatory compliance

Financial acumen

Staff development

Education

Bachelor’s degree in Nursing or Healthcare Administration

RN license in Virginia or compact state

Tools

EMR systems

MatrixCare

Excel

Job description

Sr Director of Home and Community Based Services

Job Category : Clinical

Requisition Number : SRDIR001582

• Posted : October 2, 2026
• Full-Time
• On-site

Locations

Showing 1 location

Description

Location:Westminster Canterbury At Home; 3181 Shore Dr. Virginia Beach, VA
Reports to:President of Senior Options & WCAH
FLSA:Exempt (Salary)
Schedule:Full-Time; Monday - Friday 8:30am - 5:00pm

About Us

Founded in 1982, Westminster-Canterbury on Chesapeake Bay is a not-for-profit, faith-based Life Plan Community. Located along the southern shore of Chesapeake Bay, our scenic, resort-style campus is home to a vibrant community of residents and staff who share a passion for service, joy, and well-being.

Our mission? Enriching lives through the power of purpose, belonging, and wellness.

We live our values every day:

• Respect for every person
• Passion for what we do
• Professionalism in all we do

Westminster Canterbury at Home (WCAH) is one of the most well-respected home health and home care agencies in the greater Tidewater Region, including Virginia Beach, Chesapeake, Norfolk and Portsmouth. We provide the quality services that people need when they wish to stay confidently and comfortably in their own homes.

As a subsidiary of Westminster-Canterbury on Chesapeake Bay, Virginia Beach’s premier beachfront continuing care retirement community, Westminster Canterbury At Home has a particular appreciation for the difference that location can make in the retirement experience. What it really comes down to is where an individual feels most comfortable. For some, that place is home—and we’re more than happy to meet you there.

The Senior Director of Home and Community Based Services is responsible for the overall leadership, strategic direction, and operational performance of the Home Health, Hospice, and Home Care programs which meets the highest standards defined by the industry and regulatory bodies, and in keeping with the appropriate desires of the residents and their families. This role ensures high-quality, compliant, and financially sustainable services across all lines of business, while supporting growth, staff engagement, and exceptional patient and family experiences. The Senior Director partners closely with clinical, financial, and operational leaders to align care delivery with organizational goals, regulatory requirements, and community needs. Collaborates closely with the home health, hospice and home care leaders to ensure seamless delivery of quality services. Serves as facility administrator at Dozoretz Hospice House of Hampton Roads. Always model our core values of respect, passion, and professionalism, and hold others accountable for doing the same.

What You’ll Do In This Role

• Provide day-to-day oversight of Home Health, Hospice, and Home Care operations.
• Ensure seamless coordination across service lines to support patient transitions and continuum of care.
• Establish and monitor key performance indicators (KPIs) including census, admissions, visit utilization, and productivity.
• Drive operational efficiency while maintaining high standards of care and service delivery.
• Develop and manage operating budgets for all programs.
• Monitor financial performance including revenue, labor, productivity, and cost per visit.
• Align staffing and operations with census and volume trends to protect margins with the respective business leader.
• Collaborate with billing and finance teams to ensure clean claims, timely billing, and strong cash flow.
• Ensure compliance with Medicare Conditions of Participation for Home Health and Hospice.
• Maintain survey readiness and lead responses to audits or regulatory reviews.
• Oversee policy and procedure development and implementation.
• Identify opportunities for program growth and service expansion.
• Partner with business development teams to strengthen referral relationships and market presence.
• Monitor market trends and adjust strategies accordingly.
• Lead, mentor, and develop interdisciplinary teams across all service lines.
  Ensure strong leadership structure (clinical, operations, scheduling, intake).
• Promote a culture aligned with organizational values (e.g., respect, passion, professionalism).
• Support recruitment, retention, and engagement of staff.
• Partner with executive leadership on strategic initiatives and performance reporting.
• Collaborate with internal departments including IT, HR, finance, and compliance.
• Serve as a key liaison to physicians, partners, and community stakeholders.
• Participate in board-level reporting as needed.
• Assures optimal utilization of available financial resources within the context of Westminster-Canterbury’s standards of care and values.
• Maintain current knowledge of State and Federal regulations and ensure that operations and practices are in compliance with these various regulatory and licensure requirements at all times.
• Manage Director of Home Health, Hospice, and Home Care.
• Collaborate with other leadership team members to maximize synergies with Value Based programs, Evidence-Based Care, Process Excellence, Infection Control, Patient Safety, and Regulatory and Accreditation compliance.
• Responsible for managing the Compliance of Home Health, Hospice, and Home Care, and oversees the annual Survey process.
• All other duties as assigned.

Core Competencies

• Drives efficient, high-performing operations across home health, hospice, and home care.
• Uses data and KPIs to proactively manage performance and solve problems.
• Demonstrates strong understanding of P&L, budgeting, and cost management.
• Builds, mentors, and holds leaders accountable across disciplines.
• Demonstrates strong analytical skills and effectively identifies and resolves issues to support successful outcomes.
• Demonstrates strong verbal and written communication skills for clear and effective interactions.
• Builds rapport, demonstrates empathy, and maintains positive relationships with clients, colleagues, and stakeholders.
• Able to address outside and inside inquiries
• Able to supervise, train co-workers
• Able to exercise discretion and work independently

Physical Requirements

• The ability to climb or descend flights of stairs, standing or walking for extended periods.
• Must be able to sit up to 8 hours a day; stand up to 4 hours a day; drive up to 8 hours a day.
• Office environment with standard business equipment
• Ability to work extended hours during partner onboarding/offboarding, audits, and regulatory deadlines.
• May require local travel between office locations, patient care settings, and partner organizations.
• Participation in on-call rotation as needed for administrative oversight.
• Physical demands: Prolonged sitting, computer work, and presentation activities
• Ability to work in office and field environment
• Climb at least 2 flights of stairs

The Experience You’ll Bring

Required

• Bachelor’s degree in Nursing, Healthcare Administration, or related field required.
• Active and Unencumbered Registered Nurse (RN) license issued by the state of Virginia or compact state.
• Minimum of 5–10 years of leadership experience in Medicare-certified home health or hospice, including at least 5 years in a supervisory or administrator-level role.
• Strong knowledge of Medicare Conditions of Participation.
• Deep knowledge of Medicare reimbursement models, including PDGM (Home Health) and Hospice per diem with levels of care (Routine, Continuous, GIP, Respite).
• Experience with OASIS, HOPE, survey processes, and regulatory compliance.
• Proven success in managing operations, financial performance, and team leadership.
• Proficient with computers and tablets, as well as electronic medical record (EMR) and basic computer applications.
• Experience with regulatory compliance, surveys, and accreditation (CHAP, ACHC, or Joint Commission).
• Motor Vehicle Driving Record satisfactory to Westminster-Canterbury and its insurance providers.
• Proof of motor vehicle insurance and reliable transportation.

Preferred

• Multi-site or multi-service line leadership experience (home health, hospice, and personal care/home care).
• Demonstrated success managing P&L responsibility, including budgeting, forecasting, and margin improvement.
• Experience leading organizations through regulatory surveys and accreditation (CHAP, ACHC, Joint Commission) with strong outcomes.
• Proven ability to drive census growth, referral development, and market expansion.
• Experience implementing or optimizing EMR systems (e.g., MatrixCare) and leveraging data for operational and clinical decision-making.
• Strong background in QAPI, compliance, and risk management, including policy development and audit readiness.
• Experience leading organizational change, including staffing model redesign (e.g., salaried clinicians, productivity models).
• Prior experience in a non-profit or mission-driven healthcare organization.
• Experience working with boards, executive leadership, and external partners (e.g., hospitals, CCRCs, physician groups).
• Ability to balance clinical quality with financial performance in a value-based care environment.
• Compensation Range: