Director of Nursing. Home Health

Vitale Nursing•Playa del Rey, CA

16h•Onsite

About The Position

The Director of Nursing is responsible for the overall coordination, supervision, quality, compliance, and delivery of patient care services provided by Vitale Nursing, Inc. This position serves as the organization’s designated clinical leader and Director of Nursing on record for the California-licensed home health agency and related clinical services. The Director of Nursing is responsible for all activities relevant to patient care services, including the development of personnel qualifications, assignment of qualified personnel, supervision of clinical staff, quality assurance, regulatory compliance, clinical operations, patient advocacy, and continuous improvement of patient care outcomes. The Director of Nursing shall devote a sufficient number of hours to assure the quality, adequacy, and continuity of services provided and to ensure appropriate supervision of staff. This role is an executive clinical leadership position with overall clinical and management responsibility. The Director of Nursing serves as a liaison and communication conduit between the Executive Director, Administrator, clinical staff, patients, families, physicians, providers, contracted facilities, regulatory agencies, accrediting organizations, and the community. The Director of Nursing ensures that only those patients for whom Vitale Nursing, Inc. can provide safe, adequate, and appropriate care are admitted to service. This position assumes lead responsibility for patient advocacy and carries out the organization’s purposes in a manner consistent with the company’s mission, goals, objectives, and established policies.

Requirements

Active, unrestricted Registered Nurse license in the State of California.
Current CPR/BLS certification.
Valid driver’s license.
Current TB results
Bachelor of Science in Nursing preferred, or Bachelor’s degree in a health-related field where applicable.
Minimum 5–7 years of progressive nursing leadership experience.
Minimum 2 year of supervisory or administrative experience in a healthcare setting.
Demonstrated experience in one or more of the following: California home health, Private duty nursing, Hospice, Primary care clinic, Health facility, Infusion therapy, Specialty pharmacy support, Palliative care, Related clinical care models.
Proven knowledge of: California Title 22 requirements, CDPH oversight, Home health regulations, Quality Assurance and Performance Improvement, Infection prevention and control, Clinical documentation standards, Patient care coordination.
Experience leading regulatory surveys, audits, inspections, and corrective action plans.
Option 1: Baccalaureate Degree or Higher: A Registered Nurse with a baccalaureate or higher degree in nursing or another health-related field, with at least three years of experience within the last five years in a hospice agency, home health agency, primary care clinic, or health facility, at least two years of which were in a supervisory or administrative capacity.
Option 2: Registered Nurse Experience Pathway: A Registered Nurse with at least four years of experience within the last five years in a hospice agency, home health agency, primary care clinic, or health facility, at least one year of which was in a supervisory or administrative capacity.
Strong clinical judgment and decision-making skills.
Sufficient background, knowledge, and expertise in clinical care for the patient population served by Vitale Nursing, Inc.
Demonstrated competency in professional nursing functions.
Knowledge of applicable laws, regulations, accreditation standards, and home health requirements.
Ability to contribute to quality management review and evaluation.
Excellent verbal and written communication skills.
Ability to organize, delegate, supervise, and evaluate staff.
Understanding of the roles and responsibilities of the interdisciplinary care team.
Strong leadership, problem-solving, and conflict-resolution skills.
Ability to investigate concerns, grievances, incidents, and complaints and implement corrective action.
Ability to maintain confidentiality and comply with HIPAA requirements.
Compassionate and professional attitude toward patients, families, staff, and community partners.
Positive communication skills when interacting with patients, families, employees, physicians, providers, and other healthcare team members.
Ability to serve as a professional role model for other members of the healthcare team.
Operational judgment, regulatory awareness, and ability to make sound decisions in a highly regulated environment.
Must be proficient in all the different platforms: AlayaCare, CareAcademy, Outlook, Microsoft Office Google Docs, etc.
Supervisory experience: Minimum 2 years required
Home health experience: Minimum 2 years required
Registered Nurse experience: Required based on applicable qualification pathway
Nursing leadership experience: 5–7 years preferred
Regulatory survey and corrective action experience
Director of Nursing or comparable leadership experience: Required

Nice To Haves

Master’s degree in Nursing, Healthcare Administration, Business Administration, or related field.
Familiarity with accreditation organizations, including: Joint Commission, ACHC, URAC.
Strong understanding of contract nursing models and multidisciplinary care teams.
Experience managing employed and contracted clinical staff.
Experience with specialty pharmacy support services, infusion therapy, or complex clinical care coordination.
Strong operational acumen and ability to lead in a highly regulated environment.

Responsibilities

Serve as the Director of Nursing on record for Vitale Nursing, Inc.
Provide overall clinical leadership and supervision of all nursing services.
Ensure all nursing services are delivered in accordance with applicable requirements, including: California Nurse Practice Act, California Code of Regulations, Title 22, California Department of Public Health requirements, CMS Conditions of Participation, as applicable, HIPAA requirements, OSHA standards, Infection prevention and control standards, Company policies and procedures.
Provide clinical oversight for all nursing services, including employed and contracted nurses.
Approve, implement, review, and maintain nursing policies, procedures, standing orders, and clinical protocols.
Ensure that patient care services are provided in accordance with professional standards, agency policies, physician orders, and applicable laws and regulations.
Oversee clinical competency validation, orientation, ongoing education, and performance evaluation of nursing staff.
Serve as the organization’s primary clinical resource for staff, patients, families, physicians, and community partners.
Ensure that all clinical decision-making follows professional and ethical guidelines.
Serve as a role model and set an example for other members of the healthcare team.
Coordinate services provided to patients and families to ensure safe, effective, and appropriate care.
Oversee the assessment, evaluation, intervention, care planning, and documentation of patient and family needs.
Ensure continuity of care throughout the program.
Collaborate with the Medical Director, physicians, providers, case management, intake, pharmacy leadership, administrative teams, and interdisciplinary team members to coordinate the delivery of patient care.
Ensure that only patients whose needs can be safely and adequately met by Vitale Nursing, Inc. are accepted for service.
Act as a patient advocate and ensure that patient rights, dignity, privacy, comfort, and preferences are respected.
Monitor patient needs and ensure appropriate staffing, supervision, clinical follow-up, and care coordination.
Assure availability and quality of after-hours services.
Observe for safety hazards in patient homes, contracted facilities, and organizational environments, and take appropriate steps to reduce or eliminate risks.
Direct daily clinical operations across home health clinical programs, private duty nursing services, infusion-related support, specialty pharmacy support services, and related care models, as applicable.
Collaborate with leadership, intake, scheduling, case management, clinical staff, pharmacy partners, providers, and administrative personnel to ensure coordinated care delivery.
Oversee staffing models, contractor management, scheduling, patient coverage, and clinical assignments to meet patient and regulatory needs.
Assure adequate numbers of qualified clinical staff are available to meet patient care requirements.
Assign personnel based on patient needs, staff qualifications, competencies, scope of practice, and availability.
Monitor operational performance indicators and implement continuous improvement initiatives.
Assist the Executive Director and Administrator in program planning, development, and evaluation.
Support strategic planning related to clinical operations, staffing, regulatory readiness, service quality, and organizational growth.
Maintain an open line of communication with the Administration regarding clinical operations, staffing, patient care concerns, compliance issues, and quality outcomes.
Maintain overall responsibility for compliance with applicable federal, state, and local laws, regulations, standards, and agency policies related to patient care.
Maintain continuous readiness for regulatory inspections, audits, accreditation surveys, and licensing reviews.
Serve as the primary clinical liaison for: California Department of Public Health, Accrediting organizations, including ACHC, Joint Commission, URAC, or other applicable entities.
Lead survey preparation, on-site survey management, survey response activities, and corrective action planning.
Ensure compliant documentation, plan of care processes, supervision visits, physician orders, clinical records management, and patient care processes.
Prepare for and participate in regulatory surveys, audits, inspections, and accreditation reviews.
Ensure staff understand and follow applicable regulations, clinical standards, policies, and procedures.
Read, interpret, implement, and enforce company policies and procedures.
Assist in formulating, developing, reviewing, and writing clinical policies and procedures.
Lead and oversee the Quality Assurance and Performance Improvement program.
Monitor and evaluate: Patient outcomes, Patient satisfaction, Adverse events, Incident reports, Infection control indicators, Complaints and grievances, Clinical documentation trends, Staff competency and performance indicators.
Investigate patient care problems, incidents, grievances, complaints, adverse events, and clinical concerns.
Implement corrective actions and risk mitigation strategies.
Ensure infection prevention and control practices meet applicable California and federal requirements.
Participate in quality management review and evaluation activities.
Develop and monitor performance improvement plans as needed.
Promote a culture of safety, compliance, accountability, professionalism, and continuous improvement.
Provide direct leadership and supervision to clinical leaders, nursing staff, contractors, caregivers, and assigned office staff.
Participate in recruitment, interviewing, hiring, onboarding, orientation, supervision, evaluation, coaching, and retention of qualified clinical personnel.
Oversee the orientation of new clinical employees.
Establish performance standards and participate in performance measurement, evaluation, coaching, and corrective action.
Support recruitment, onboarding, performance management, coaching, counseling, disciplinary processes, and performance improvement plans.
Conduct ongoing assessment of staff education and competency needs.
Design, coordinate, or provide education programs, in-service trainings, competency validations, and staff development activities.
Ensure staff maintain required licensure, certifications, continuing education, and ongoing competency.
Demonstrate positive leadership through effective communication, staff development, motivation, accountability, and professional conduct.
Foster a culture of compliance, accountability, professionalism, teamwork, compassion, and continuous improvement.
Provide regular communication with staff regarding pertinent organizational, operational, regulatory, and clinical issues.
Serve as a liaison between leadership, clinical staff, patients, families, physicians, providers, contracted facilities, regulatory agencies, accrediting organizations, and community partners.
Collaborate with the Medical Director and other healthcare providers to coordinate the delivery of patient care.
Participate in leadership meetings, case conferences, care coordination meetings, interdisciplinary team discussions, and quality improvement meetings.
Regularly visit contracted facilities, patient care locations, and community partners as needed to maintain positive working relationships.
Participate in community education, outreach, and public relations activities as requested.
Maintain professional and positive communication with patients, families, staff, providers, and external partners.
Oversee the accurate, complete, and timely completion of clinical documentation and medical records.
Ensure medical records are maintained in compliance with applicable laws, regulations, accreditation standards, and company policies.
Conduct or oversee chart audits, documentation reviews, and corrective action related to clinical records.
Ensure documentation supports patient needs, care coordination, physician orders, services provided, clinical interventions, and regulatory compliance.
Ensure appropriate systems are in place for documentation quality, record retention, confidentiality, and HIPAA compliance.