RN Executive Director Registered Nurse

Doctor's Choice Home Care & Hospice Texas • Arlington, TX

7d • Onsite

About The Position

The Executive Director, who may also serve as the Agency Administrator, Alternate Administrator, or Alternate Supervising Nurse, provides overall clinical, regulatory, administrative, financial, and operational leadership for the assigned home health region. The role is accountable for personnel, service delivery, and business operations, and ensures adherence to company policies and applicable state, federal, accrediting-body, and payer regulations. The Executive Director promotes clinical excellence, regulatory compliance, and operational integrity while embodying the organization’s mission, philosophy, and Core Values.

The position oversees clinical quality through continuous Quality Assessment and Performance Improvement (QAPI) activities to support safe, professional, efficient, and patient-centered care. It participates in the on-call rotation as needed, including during new-branch start-up phases. Work is primarily in the agency office and, as required, in patient homes. Travel is required, up to 25%.

Requirements

• Registered Nurse (RN) license in the state(s) of practice; equivalent experience in a high-level healthcare leadership role may be accepted in lieu of RN licensure where permitted by state and federal regulations.
• At least five years of clinical experience or comparable healthcare leadership experience; home health experience is strongly preferred.
• Solid knowledge of Medicare, Medicaid, and commercial insurance requirements.
• CPR certification from the American Heart Association or American Red Cross if an RN.
• Proficiency in budgeting, P&L oversight, billing processes, financial analysis, and data-driven decision-making.
• Strong leadership, clinical judgment, organizational management, critical thinking, and problem-solving skills.
• Ability to lead teams through coaching, collaboration, and conflict resolution.
• Professionalism and ability to maintain effective relationships across staff and corporate leadership levels.
• Excellent verbal and written communication skills.
• Ability to model the company philosophy, mission, and Core Values through actions and communication.
• Valid driver’s license, auto liability insurance, and reliable transportation.
• Proficiency with Microsoft Office software, including Excel, PowerPoint, and Word, for report development, analysis, and presentations.
• Ability to travel as required.
• High school diploma or GED; equivalent high-level healthcare leadership experience may substitute for the RN educational requirement where permitted by state and federal regulations.
• Ability to meet the physical requirements of the role, including frequent sitting, standing, walking, bending, kneeling, and reaching, and assisting with transferring or lifting up to 100 pounds when providing patient care.
• Adequate hearing and vision, with adaptive devices if needed, to safely perform essential job functions.
• Compliance with required health screenings, including tuberculosis testing for clinical licensure.

Nice To Haves

• At least two years in a home health executive or leadership role.
• Associate or bachelor’s degree in nursing.
• Home health experience.

Responsibilities

• Provide clinical, regulatory, administrative, financial, and operational leadership for the assigned home health region.
• Assume accountability for personnel, service delivery, and business operations.
• Ensure adherence to company policies and applicable state, federal, accrediting-body, and payer regulations.
• Promote clinical excellence, regulatory compliance, and operational integrity while embodying the organization’s mission, philosophy, and Core Values.
• Oversee clinical quality through ongoing Quality Assessment and Performance Improvement (QAPI) activities.
• Participate in the on-call rotation as needed, including during new-branch start-up phases.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree