Senior Director of Clinical Operations

True Care Agency

120d

About The Position

True Care is a large, well-established, mission-driven Licensed Home Care Services Agency (LHCSA) committed to delivering high-quality, person-centered homecare services across New York, Westchester, Long Island, and Colorado. Our focus is on compliance, compassion, and operational excellence as we serve diverse communities. The Operations Administrator will be responsible for the day-to-day and strategic oversight of all key operational functions of the agency. The ideal candidate will have extensive experience in the New York homecare ecosystem, including a deep understanding of LHCSA regulations, Managed Long Term Care (MLTC) relationships, Uniform Assessment System (UAS) processes, Nursing Home Transition and Diversion (NHTD) Waiver program, Private Pay, personal care aide (PCA) and home health aide (HHA) scheduling, billing, and compliance management. This a leadership role which is critical in ensuring that the agency runs efficiently, delivers top-quality care, and stays fully compliant with state regulations.

Requirements

• Bachelor's degree in Healthcare Administration, Business, or related field (Master's preferred), and must hold a valid Registered Nurse license in New York State.
• 7-10+ years of senior management experience in healthcare operations, preferably in home health, nursing home or hospice care.
• Strong knowledge of HIPAA, Medicare/Medicaid regulations, and state licensing requirements.
• Proven knowledge of LHCSA regulations, MLTC authorizations, EVV, UAS assessments, NHTD Waiver Program, and NYS DOH requirements.
• Proficiency in HHAeXchange or similar home care software platforms, Electronic Visit Verification (EVV) systems, and Microsoft Office Suite.
• Familiarity with clinical workflows and terminology.
• Exceptional organizational, communication, and problem-solving skills.
• Commitment to compassionate, patient-centered care.
• Ability to manage multiple priorities, thrive in a high-volume, fast-paced environment and meet deadlines.

Nice To Haves

• Bilingual English/Spanish, Russian, or Mandarin is a plus.

Responsibilities

• Oversee all core LHCSA operations in New York and Colorado, including patient and caregiver processes.
• Collaborate with executive leadership to implement and execute strategic initiatives.
• Lead and develop cross-functional teams to meet performance benchmarks and KPIs in patient satisfaction, quality, and improving bottom line efficiency.
• Ensure full compliance with all New York State Department of Health (NYSDOH) regulations, DOH surveys and audits, and LHCSA reporting requirements.
• Maintain and improve internal patient and caregiver compliance protocols and audit mechanisms, ensure aides are credentialed, trained, and deployed according to plan authorizations and patient needs.
• Monitor and manage EMR, CRM, and documentation systems to maintain compliance and quality standards.
• Manage office based and field base clinical operations including productivity, metrics, compliance, workflow improvements, ongoing education and support.
• Develop and implement operational strategies to streamline workflows, enhance service delivery, and reduce overhead costs across all departments.
• Lead performance improvement initiatives, including staff scheduling, client onboarding, and caregiver deployment, to improve response times and service consistency.
• Standardize and refine processes for compliance, documentation, and reporting to improve operational transparency and regulatory adherence.
• Collaborate with clinical and administrative teams to ensure coordinated care delivery and efficient communication across all service lines.
• Implement technology solutions to automate routine tasks and improve workflow efficiency.
• Manage and develop operational staff, fostering a culture of accountability, innovation, and performance excellence.
• Support business growth initiatives by improving scalability of operations and ensuring the agency can meet increased client demand efficiently.
• Define, track, and report on key performance indicators (KPIs).
• Develop dashboards and reports for leadership that highlight trends, risks, and opportunities for improvement.
• Prepare weekly and monthly operational reports for the Executive Team.
• Provide actionable insights and make data-driven recommendations to improve quality of care and agency profitability.
• Coordinate and prepare all documentation for state DOH, Medicaid, Managed Care Organizations, or accreditation body audits.
• Serve as the point of contact during audits, ensuring timely responses and accurate submissions.
• Monitor adherence to HIPAA, labor laws, and home care regulations.
• Work closely with HR, Payroll, and Clinical teams to address any discrepancies before audits occur.
• Develop corrective action plans in response to audit findings and track completion.
• Standardize audit-ready processes across the agency to minimize risk of compliance issues.

Benefits

• Competitive compensation.
• Comprehensive benefits.
• Opportunities for growth in a rapidly expanding organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Nursing and Residential Care Facilities
• Education Level: Bachelor's degree