RN Director Home Health and Hospice

Ohio Living•Columbus, OH

About The Position

The Administrator is responsible for planning, organizing, developing, and directing the overall operation of the agency’s licensed and certified home health and hospice services. The role ensures compliance with company standards and applicable federal, state, and local requirements while maintaining the highest quality of services. The position oversees daily operations, regulatory readiness, clinical and administrative systems, and relationships with life plan community staff. It supervises and develops clinical staff, supports staffing and training, and evaluates employee performance. The Administrator also contributes to budgeting and financial performance, oversees billing and revenue processes, and leads quality, compliance, and risk management activities. The role maintains relationships with patients, families, and community organizations and collaborates with marketing staff to support volume goals and develop referral sources. Weekend, evening, and holiday work may be needed for coverage, and 24/7 on-call availability is required for emergencies. Minimal travel and overnight travel are expected.

Requirements

  • Bachelor of Science in Nursing or a related field.
  • Current, unencumbered Ohio license to practice as a Registered Nurse.
  • Five years of experience as a healthcare professional, including at least two years in a health-related administrative or operations management position.
  • Knowledge of Medicare and third-party payer requirements.
  • Proficiency with Windows, Microsoft Office (Word, Excel, and PowerPoint), and the internet.
  • Proficiency with electronic medical records.
  • Ability to read, write, speak, and understand English.
  • Valid driver's license and acceptable driving record.
  • Ability to be insured under professional liability and crime coverage policies according to insurer underwriting standards.

Nice To Haves

  • Experience in a Medicare-certified home health agency or hospice setting.
  • Experience with diagnosis coding.

Responsibilities

  • Manage daily operations and ensure compliance with federal, state, and local requirements.
  • Maintain readiness for regulatory surveys.
  • Review diagnosis coding and plans of care orders for home health patients in accordance with Medicare regulations.
  • Provide leadership and direction to achieve organizational strategy, growth, financial strength, utilization, and operating efficiency.
  • Ensure equipment, systems, and monitoring meet quality, customer service, utilization, and compliance standards.
  • Communicate with life plan community staff and delegate staff to support care coordination and aging-in-place meetings.
  • Manage the local integrated electronic medical record component and ensure staff are trained to use it accurately and productively.
  • Remain available during operating hours or designate a capable staff member when unavailable.
  • Supervise clinical staff and foster a positive environment that attracts, retains, and motivates employees.
  • Interview, select, and orient direct reports; establish qualifications and performance expectations; evaluate performance and provide developmental guidance.
  • Monitor employee accountability, document noncompliance, and work with Human Resources when further intervention is needed.
  • Participate in planning, scheduling, conducting, and monitoring staff in-service, on-the-job, and orientation training.
  • Maintain a reasonable staffing plan for absences and vacancies among direct reports.
  • Respond promptly to staff questions, requests, and work submitted for review and approval.
  • Assist with the annual operating budget and administer programs within budgeted dollars and staff hours.
  • Maintain appropriate supply levels and ensure supplies are billed correctly.
  • Monitor financial indicators and meet or exceed profit and loss, cash, and accounts receivable targets for home health, home care, and hospice.
  • Manage revenue and collections cycles and ensure accurate documentation, coding, and billing reimbursement.
  • Oversee complete and accurate patient records and keep informed about licensure, certification, and reimbursement issues.
  • Monitor clinical services using utilization statistics, quality outcome measures, clinical record reviews, and other reports.
  • Oversee surveys, mock surveys, and compliance audits.
  • Protect patient confidentiality and rights.
  • Build trust with patients and families, respond to concerns and requests, and maintain written records of actions taken on complaints.
  • Cultivate relationships with community, civic, aging-service, educational, faith, government, and other organizations.
  • Collaborate with marketing staff to meet volume goals and develop referral sources.
  • Perform other duties as assigned.
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