Director of Clinical Services (RN) Home Health

Adaptive Home Health•Richardson, TX

6d•$90,000 - $125,000•Onsite

About The Position

We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today. The Opportunity We are looking for a Director of Clinical Services who can lead clinical execution with high standards and high intensity. This is not a passive “clinical support” role. You will own day-to-day clinical coordination and quality, ensuring that: Patients receive the right care at the right time Clinicians are supported, coached, and held to clear expectations Changes in condition are identified early, escalated appropriately, and documented thoroughly Care plans, orders, and clinical documentation are accurate, timely, and compliant You will partner closely with operations and scheduling to keep care delivery on track, and you will be a key leader in how we scale safely.

Requirements

Ability to coach, mentor, and train clinical staff
Strong clinical judgment and a structured approach to prioritization and escalation
A strong sense of personal accountability. You must take ownership of clinical outcomes through your clinical staff.
Ability to communicate clearly across clinical and operational teams
Minimum of one (1) year of recent clinical experience as a Registered Nurse
At least one (1) year of experience in a Home Health setting is required
Previous leadership or supervisory experience in home health or another clinical care environment is strongly preferred
Thorough understanding of home health operations, including coordination of care, compliance with Medicare Conditions of Participation (CoPs), and management of OASIS documentation
Proficiency with Homecare Homebase (EHRs) and experience managing patient documentation and workflows in Homecare Homebase
Demonstrated ability to lead interdisciplinary teams, oversee patient care plans, and support clinical staff performance

Nice To Haves

Experience building or improving clinical workflows at scale
Experience partnering closely with operations teams to prevent service failures
Experience with utilization review, quality assurance, and performance improvement in a home health context is a plus

Responsibilities

Own clinical execution for your branch
Monitor clinical status across active patients and ensure timely follow-up when a patient’s condition changes
Coordinate next steps after clinical events (new symptoms, missed visits, safety concerns, hospitalizations, discharges)
Ensure care plans are clear and actionable for field clinicians, with appropriate coordination of orders and plan updates
Maintain high standards for clinical documentation quality and timeliness
Lead and develop field clinicians
Coach clinicians on clinical reasoning, visit planning, patient education, and documentation quality
Set and reinforce expectations for reliability, professionalism, and patient experience
Address performance issues quickly and fairly, including structured improvement plans when needed
Support onboarding and skill development to raise clinical consistency across the team
Drive quality, safety, and compliance through systems
Identify recurring clinical and documentation issues and implement process improvements
Support quality assurance activities by ensuring clinical work meets standards before downstream review
Be an escalation leader
Serve as a calm, decisive escalation point for clinical questions and patient risk
Know when to intervene directly and when to empower field staff with guidance
Coordinate with leadership on high-risk cases, incidents, and sensitive patient situations