Director of Nursing

Cambrian Homecare•Long Beach, CA
•Onsite

About The Position

The Director of Nursing provides clinical leadership and oversight for Cambrian Homecare’s skilled nursing respite program, serving individuals with developmental disabilities who receive nursing services in their homes. Working with operational leadership, nursing staff, clients, families, physicians, payers, and other healthcare partners, the Director helps ensure care meets individual needs, clinical standards, company policies, and California regulatory requirements. The role oversees and guides field RNs and LVNs, evaluates clinical situations, answers clinical questions, supports accountability, and addresses performance concerns. It reviews, develops, updates, and maintains plans of care, physician orders, medication profiles, nursing assessments, and other clinical records. The Director also supports admissions, transfers, discharges, assessments, care planning, documentation quality, regulatory compliance, and survey readiness. The position is primarily onsite in Long Beach, California, with occasional visits to client homes throughout Los Angeles County, typically a few times per month. The usual schedule is Monday through Friday, 8:00 AM–5:00 PM PST, with clinical on-call availability required as needed. The role requires an active California RN license, supervisory experience, field assessment capabilities, and advanced Microsoft 365 skills.

Requirements

  • Meet at least one of the following qualification pathways: a bachelor’s degree or higher in nursing or a health-related field and at least three years of nursing experience within the last five years in a home health agency, clinic, or healthcare facility, plus at least one year of supervisory experience; or at least four years of experience in home-based healthcare or a healthcare facility, including at least one year of supervisory experience.
  • Graduate of an accredited school of nursing and maintain an active, clear California Registered Nurse (RN) license in good standing.
  • At least one year of supervisory experience.
  • Valid driver’s license, dependable insured transportation, and ability and willingness to independently conduct nursing assessments, supervisory visits, and clinical oversight activities in client homes throughout Los Angeles County.
  • Current CPR certification and required TB clearance.
  • Ability to meet applicable health and physical requirements, including lifting, bending, squatting, and transferring clients as required.
  • Ability to fulfill after-hours clinical on-call responsibilities and provide clinical guidance when needed.
  • Advanced Microsoft 365 skills, including Excel, Word, PowerPoint, Teams, and SharePoint.

Nice To Haves

  • Experience supporting individuals with intellectual or developmental disabilities and their families in community-based or home-based service environments.
  • Experience in home health, home care, respite services, or other community-based healthcare settings.
  • Familiarity with California regional center services and systems supporting individuals with developmental disabilities.
  • Experience with clinical audits, regulatory reviews, documentation improvement, and corrective action.
  • English/Spanish bilingual skills.
  • Experience reviewing nursing notes, assessments, physician orders, care plans, and clinical records.

Responsibilities

  • Provide clinical oversight and guidance to field RNs and LVNs, independently evaluate clinical situations, answer clinical questions, and support professional accountability.
  • Partner with operational leadership to resolve clinical concerns and support appropriate care delivery.
  • Address nursing performance concerns when needed and reinforce clinical standards and expectations.
  • Review, develop, update, and maintain individualized plans of care, physician orders, medication profiles, nursing assessments, and other clinical records.
  • Ensure clinical documentation is complete, accurate, and compliant with applicable requirements.
  • Help maintain compliance with California Title 22 regulations, applicable state and federal requirements, and company policies.
  • Monitor clinical records and practices to support ongoing readiness for regulatory reviews.
  • Support appropriate admissions, transfers, discharges, assessments, and care planning.
  • Coordinate with physicians, clients, families, payers, and other healthcare partners to support continuity of care.
  • Track outstanding documentation and clinical requirements, prioritize work, and ensure issues are resolved in a timely manner.
  • Conduct nursing assessments, supervisory visits, and clinical oversight activities in client homes as needed.
  • Provide after-hours clinical on-call guidance when needed.

Benefits

  • 401(k) retirement savings plan, subject to participation terms.
  • Paid time off (PTO).
  • Medical, dental, vision, and other insurance benefits, subject to plan availability and eligibility.
  • Supportive, collaborative work environment focused on clinical excellence, accountability, teamwork, and person-centered care.
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