Director of Nursing (DON) / RN Supervisor

Happier at Home•Toms River, NJ

About The Position

The Director of Nursing (DON) serves as the agency’s clinical leader, ensuring safe, effective, and compassionate delivery of non-skilled personal care services. In accordance with New Jersey Health Care Service Firm (HCSF) regulations and accreditation standards, the DON oversees clinical operations, develops client plans of care, and supervises Certified Home Health Aides (CHHAs) and companion staff. The position includes conducting in-home nursing assessments, creating and updating individualized written Plans of Care, triaging clinical inquiries, delegating tasks within the Plan of Care, and maintaining RN availability whenever the agency provides personal care services. The DON also conducts recurring supervisory evaluations of CHHAs and evaluates the competency of newly hired aides. The DON participates in quality assurance and continuous quality improvement, investigates clinical occurrence reports, develops staff training, and maintains HIPAA-compliant clinical records. The role involves local travel in Ocean and Monmouth counties, use of home care scheduling software, electronic health records, and Microsoft Office, and communication with clients, families, staff, and administrators. Additional administrative duties may include billing discussions, caregiver orientation and interview paperwork, and support with client-file paperwork related to sales. The position offers mileage reimbursement for required travel, a $50 monthly technology stipend, reimbursement for biennial RN license renewal fees and up to $250 annually for required continuing education, growth and survey performance bonuses, PTO, and a retirement plan.

Requirements

  • Current, active, unencumbered Registered Nurse license issued by the New Jersey Board of Nursing.
  • At least two years of professional nursing experience, specifically including community health and/or home care experience.
  • Demonstrated understanding of New Jersey HCSF regulations, NJ Board of Nursing CHHA delegation rules, and accreditation standards.
  • Current CPR/BLS certification.
  • Successfully pass a comprehensive background check and maintain a clean driver’s abstract (MVR).
  • Ability to travel locally within the agency’s designated service area.
  • Proficiency with cloud-based home care scheduling software, electronic health records, and Microsoft Office.
  • Ability to communicate clearly and professionally with clients, families, field staff, and the administrative team.

Responsibilities

  • Conduct comprehensive initial nursing assessments in clients’ homes before personal care services begin.
  • Develop, implement, and maintain individualized written Plans of Care that specify tasks delegated to field staff.
  • Conduct client reassessments and update care plans at least every 60 days, or more often when a significant change in condition warrants it.
  • Triage clinical inquiries and establish client priority levels in accordance with the agency’s emergency preparedness and business continuity plans.
  • Remain continuously available, or arrange authorized RN coverage, during all hours when the agency provides personal care services.
  • Delegate nursing tasks to CHHAs within the scope of practice defined by the Plan of Care.
  • Conduct in-home supervisory evaluations of CHHAs at least every 60 days to assess competency, adherence to care plans, and client satisfaction.
  • Conduct initial competency evaluations and skills checks for newly hired CHHAs before their first independent field assignment.
  • Participate in the agency’s Quality Assurance and Continuous Quality Improvement programs.
  • Review, investigate, and sign clinical Risk Management Occurrence Reports; identify root causes and collaborate with the Administrator on Plans of Correction.
  • Develop and conduct ongoing in-service training and educational programs for field staff.
  • Maintain accurate, timely, HIPAA-compliant clinical documentation in the agency’s electronic medical record system.
  • Travel locally in Ocean and Monmouth counties for in-home assessments and supervisory visits.
  • Complete additional administrative tasks, potentially including billing discussions, caregiver orientation and interview paperwork, and client-file paperwork related to sales.

Benefits

  • PTO
  • Retirement plan
  • Mileage reimbursement at the standard IRS mileage rate for required travel between client homes.
  • $50 monthly technology stipend for use of a personal smartphone.
  • Reimbursement for biennial New Jersey Board of Nursing RN license renewal fees.
  • Up to $250 annually for required Continuing Education Units (CEUs).
  • Bonus upon reaching 25 active, billing clients and another bonus at 50 active clients.
  • Performance bonus for achieving a zero-deficiency outcome during the annual accreditation survey.
  • Competitive salary.
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