Director of Clinical Services Home Health

VetJobs•Houston, TX
•$100,000•Onsite

About The Position

Adaptive is building an AI-native physical care platform that automates administrative work in home health so clinical leaders can focus on patient care, clinical oversight, staff development, and patient safety. The company is growing and seeks a leader to set the clinical standard as its branches and markets scale. The role is based in Houston and requires an active onsite presence at the branch. The Director of Clinical Services is the branch’s senior clinical authority, accountable for clinical quality, regulatory compliance, performance management, and clinical execution. The Director serves as the Home Health Administrator and senior clinical decision-maker, works closely with operations, scheduling, and market leadership, and is accountable for outcomes. The position leads the branch clinical team, oversees quality and compliance, and serves as the escalation leader for changes in patient condition, safety concerns, and risks to care delivery.

Requirements

  • Active, unrestricted RN license valid in Texas.
  • At least three years of leadership experience at a Medicare-certified skilled home health agency, with clinicians reporting directly to the candidate.
  • Deep knowledge of Medicare Conditions of Participation and strong clinical judgment.
  • Leadership presence and a strong sense of personal accountability.
  • Excellent communication and performance management skills.
  • Ability to hire, develop, and lead the branch clinical team.
  • Willingness to join a fast-moving, growth-oriented team.
  • Willingness and ability to be present onsite at the branch as an active clinical leader.
  • Home Health experience.
  • Leadership experience.

Nice To Haves

  • Prior Home Health Administrator experience.
  • Experience opening or scaling a new branch or market.
  • Experience at an agency with centralized or shared-services back-office functions.
  • Ownership of QAPI, accreditation, or state survey and plan-of-correction processes.
  • Experience building or improving clinical workflows at scale.
  • Experience partnering closely with operations teams to prevent service failures.
  • QAPI skills.

Responsibilities

  • Serve as the Home Health Administrator and senior clinical decision-maker for the branch.
  • Maintain year-round survey readiness and ensure the branch exceeds Medicare Conditions of Participation and state regulations.
  • Conduct field supervisory visits and review active cases to monitor patient status.
  • Coordinate next steps after clinical events, ensure care plans are clear and actionable, and maintain documentation quality and timeliness.
  • Lead the branch clinical team and build clinical leadership as the market grows.
  • Directly manage Branch Clinical Managers and Field Operations Managers.
  • Own clinician development, performance management, and risk mitigation; address performance issues, including through structured improvement plans when needed.
  • Hire, develop, and lead branch clinical staff as census grows.
  • Own branch clinical quality and outcomes, including rehospitalization prevention.
  • Track HHCAHPS results and quality KPIs, identify trends, and implement coaching or process changes.
  • Partner with the centralized Quality Assurance team on documentation accuracy and OASIS review.
  • Identify recurring clinical and documentation issues and implement process improvements.
  • Serve as the clinical authority when a patient’s condition changes or care delivery is at risk.
  • Make escalation decisions for high-risk patients, safety concerns, and incidents.
  • Coordinate with market leadership on sensitive patient situations, hospitalizations, and quality investigations.
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