Director Home Care Services and Regulatory Compliance

Cross Country•Newark, NJ

11d

About The Position

The Director Home Care Services and Regulatory Compliance provides leadership and oversight for clinical operations, regulatory compliance, quality assurance, and workforce compliance across homecare and PACE services. The role ensures safe, high-quality patient care and adherence to applicable federal, state, and local regulations and PACE program requirements. The Director works with operational leadership, Human Resources, Corporate Compliance, Credentialing, and Onboarding teams on clinical staff performance, licensure and credentialing, audit readiness, regulatory reporting, quality improvement, and patient outcomes. The Director oversees day-to-day clinical operations and compliance, monitors service quality, interprets regulatory changes, supports audits and corrective actions, and advises leaders and staff on clinical and regulatory matters. The role includes conducting in-home visits, reviewing care plans and outcomes, analyzing quality and audit data, and overseeing clinical documentation and workforce credentialing processes. The Director also leads and supports clinical staff through coaching, training, performance feedback, and professional development; prepares required state reports; and serves as a contact for regulatory agencies and compliance reviews. Travel to patient homes and clinical locations is required as needed.

Requirements

Active Registered Nurse (RN) license in the state of assignment or eligibility for multi-state licensure through the Nurse Licensure Compact (NLC), where applicable.
Minimum of 5–7 years of progressive nursing experience, including leadership or supervisory responsibilities in homecare, PACE, hospice, managed care, or another healthcare service environment.
Three years of public health agency experience where applicable.
Experience overseeing clinical operations, quality assurance, and regulatory compliance in a healthcare setting.
Experience managing compliance programs, regulatory audits, onboarding operations, credentialing processes, licensure management, and corrective action initiatives.
Strong knowledge of homecare regulations, patient care protocols, quality improvement initiatives, and healthcare staffing regulations.
Ability to ensure operational excellence and client satisfaction.
Strong leadership, organizational, and communication skills, with the ability to manage multiple priorities in a fast-paced environment.
Proficiency with clinical documentation systems, healthcare management software, CRM platforms, and Microsoft Office Suite, including Excel, Word, and PowerPoint.
Strong problem-solving and decision-making abilities.
Ability to travel to patient homes and clinical locations as needed.
Bachelor’s Degree in Nursing (BSN) required.

Nice To Haves

Management experience in homecare, hospice, PACE, or a similar healthcare setting.
Master’s Degree in Nursing, Healthcare Administration, Public Health, or a related field.

Responsibilities

Oversee compliance with applicable federal, state, and local homecare regulations and PACE program requirements across assigned markets.
Oversee day-to-day clinical operations of homecare services within the PACE program.
Monitor clinical service quality and effectiveness, identify gaps, and support compliance with PACE, accreditation, and healthcare regulatory standards.
Monitor and interpret regulatory and industry changes and partner with operational leadership to implement compliant processes, policies, and procedures.
Partner with Compliance on audits, investigations, corrective action plans, risk mitigation, and ongoing compliance monitoring.
Maintain audit readiness, coordinate responses to state, federal, accreditation, and PACE program audits, and implement corrective actions.
Provide clinical compliance guidance to leadership, field staff, and internal departments.
Work with Senior Leadership on initiatives to improve patient outcomes, clinical operations, compliance, and organizational efficiency.
Conduct in-home visits and clinical oversight activities to assess care quality, participant outcomes, caregiver performance, and adherence to care plans and regulations.
Analyze data, audit findings, quality indicators, and home visit outcomes to identify trends, mitigate risks, and recommend improvements.
Oversee accurate clinical documentation in accordance with PACE requirements, payer standards, state regulations, and company policies.
Conduct routine audits of clinical, onboarding, credentialing, licensure, and compliance records.
Oversee verification, tracking, renewals, monitoring, and maintenance of clinical licenses, certifications, background screenings, and other credentials.
Collaborate with Onboarding, Credentialing, Human Resources, Compliance, Operations, and Clinical Leadership to support onboarding, licensure verification, workforce compliance, competency validation, and credential maintenance.
Establish processes to ensure clinical personnel meet applicable onboarding requirements before providing patient care.
Provide leadership, coaching, training, and professional development guidance for clinical staff.
Monitor caregiver and clinical staff performance and provide feedback and support.
Prepare, review, and submit required state reports accurately and on time.
Serve as a point of contact for regulatory agencies, audits, compliance reviews, surveys, inspections, and follow-up activities.
Provide consultation and support regarding caregivers, home care aides, RNs, LPNs, and other clinical personnel.
Perform other duties as assigned.