Director Home Care Services and Regulatory Compliance
About The Position
The Director Home Care Services and Regulatory Compliance provides leadership and oversight of clinical operations, regulatory compliance, quality assurance, and workforce compliance for homecare and PACE services. The role ensures safe, high-quality patient care and compliance with applicable federal, state, local, and PACE program requirements. The Director partners with operational leadership, Human Resources, Corporate Compliance, Credentialing, and Onboarding teams to support clinical staff performance, licensure and credentialing compliance, audit readiness, regulatory reporting, quality improvement, and patient outcomes across assigned markets. The Director oversees day-to-day clinical operations for homecare services within the PACE program; monitors service quality and effectiveness; interprets regulatory changes; supports audits, investigations, corrective action plans, and compliance monitoring; and serves as a clinical compliance resource to leadership, field staff, and internal departments. The role includes conducting in-home visits, analyzing quality and audit data, overseeing clinical documentation and workforce credential records, managing clinical license compliance, and supporting onboarding and competency validation. The Director also provides staff leadership, coaching, training, and performance guidance; supports state reporting; and serves as a contact for regulatory agencies and related reviews. A Bachelor’s Degree in Nursing is required. A Master’s degree in Nursing, Healthcare Administration, Public Health, or a related field is preferred. The company provides a laptop, monitor, keyboard, mouse, and headset for use during employment. The position requires travel to patient homes and clinical locations 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; examples include government agencies, healthcare and community organizations serving underserved communities, universities, and research institutions.
- 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.
- Excellent 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 (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).
Nice To Haves
- Management experience within 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 across assigned markets, including licensing, credentialing, staffing, documentation, patient care, and PACE program requirements.
- Oversee day-to-day clinical operations of homecare services within the PACE program and ensure care aligns with clinical standards, regulations, organizational policies, and individualized care plans.
- Monitor and evaluate the quality and effectiveness of clinical services, identify care or compliance gaps, and address them.
- Monitor and interpret changes to homecare regulations, PACE requirements, and industry standards, and partner with operational leadership to implement compliant processes, policies, and procedures.
- Partner with Compliance on regulatory audits, investigations, corrective action plans, risk mitigation, and compliance monitoring.
- Maintain audit readiness; coordinate responses to state, federal, accreditation, and PACE program audits and implement corrective actions as needed.
- Provide clinical compliance guidance to leadership, field staff, and internal departments.
- Collaborate with senior leadership on data-driven initiatives to improve patient outcomes, clinical operations, compliance, and organizational efficiency.
- Conduct in-home visits and clinical oversight 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, recommend improvements, and support continuous quality improvement.
- Oversee accurate clinical documentation in compliance with PACE requirements, payer standards, state regulations, and company policies.
- Conduct routine audits of clinical, onboarding, credentialing, licensure, and compliance records.
- Oversee verification, tracking, renewal, monitoring, and maintenance of clinical licenses, certifications, background screenings, and other required credentials.
- Collaborate with Onboarding, Credentialing, Human Resources, Compliance, Operations, and Clinical Leadership on onboarding, license verification, workforce compliance, competency validation, and credential maintenance.
- Establish processes to ensure clinical personnel meet regulatory, contractual, client, payer, and organizational onboarding requirements before providing patient care.
- Provide leadership, coaching, training, and professional development guidance to 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 and for audits, compliance reviews, surveys, inspections, and follow-up activities.
- Provide consultation and support to internal departments regarding caregivers, home care aides, RNs, LPNs, and other clinical personnel.
- Perform other duties as assigned.
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- Voluntary Insurance
- 401(k) plan
- Tuition Assistance
- Pet Insurance
- Wellness options through Burnalong, including an online platform of classes and programs and local gym access
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What This Job Offers
Job Type
Full-time
Career Level
Director
