Director of Operations (Registered Nurse RN) – Home Based Care

Cleveland•Middleburg Heights, OH

2d•Hybrid

About The Position

We are seeking a highly dynamic, experienced, and hands‑on Director of Operations (RN) to oversee agency operations while actively supporting clinical excellence and patient care in the field. This role is ideal for a confident, strategic leader who understands both the clinical and operational sides of home‑based care - and who is willing to roll up their sleeves whenever needed. This is not a desk‑only leadership role. The Director of Operations must be ready to provide patient care when needed, support their nurses in the field in real time, and ensure that all operational systems run smoothly across the agency. As the Director of Operations, you will be the operational and clinical backbone of the organization - the person who ensures the agency runs efficiently, patients receive safe, high‑quality care, and staff feel supported, empowered, and aligned. This role is also a succession‑track leadership position. The individual who excels here will be positioned to assume full executive responsibility for the agency. As the role grows, profit-sharing and equity (ownership) opportunities may become available.

Requirements

Active, unrestricted RN license in Ohio
Bachelor's degree in nursing or healthcare management
Minimum 5 years of clinical experience in high‑acuity settings (ICU, ED, critical care, or similar)
Minimum 3-5 years of leadership experience, including operational oversight
Strong clinical assessment skills and comfort with both acute and chronic care
Experience supervising or supporting field nurses (home health, hospice, or community‑based care preferred but not required)
Demonstrated ability to manage operations, workflows, and cross‑functional teams
Excellent communication, organization, and problem‑solving skills
Proficiency with technology and EMR systems
Valid driver's license, reliable transportation, and ability to travel throughout the service area
CPR certification, TB clearance, and up‑to‑date vaccinations, including COVID, Influenza, MMR, and Hepatitis B
Ability to lift up to 50 lbs and perform physical tasks related to patient care

Nice To Haves

Home health, hospice, or community‑based care experience

Responsibilities

Oversee daily agency operations to ensure seamless, efficient service delivery
Lead cross‑departmental coordination between clinical, administrative, scheduling, and customer service teams
Manage staffing models, workload distribution, and resource allocation
Ensure operational readiness for audits, surveys, and accreditation processes
Monitor key performance indicators (KPIs) and drive continuous improvement initiatives
Support strategic planning and growth initiatives
Serve as the on‑call clinical and operational resource for field staff
Support nurses and aides in the field with troubleshooting, clinical decision‑making, and escalation management
Provide hands‑on nursing care as needed, including urgent visits, supervisory visits, and complex case support
Conduct patient assessments, develop care plans, and ensure documentation compliance and accuracy
Coordinate care with physicians, therapists, hospitals, and other healthcare professionals
Lead and manage both clinical and administrative staff, including: Field nurses and nursing assistants, Clinical administrative support, Customer care and scheduling staff, Remote administrative support team
Supervise, mentor, and evaluate team members across all departments
Oversee onboarding, training, and competency validation for new hires
Foster a culture of accountability, teamwork, and operational excellence
Maintain compliance with state regulations, accreditation standards, and HIPAA
Review EMR documentation for accuracy, completeness, and timeliness
Ensure adherence to agency policies, clinical protocols, and quality standards
Lead quality improvement initiatives and corrective action plans