Senior Director of Nursing

Abby Care•Nashville, TN

3d•$140,000 - $170,000•Hybrid

About The Position

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve. Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively. Abby Care is scaling its capacity to support family caregivers and medically complex patients across the country, and its clinical leadership team is also expanding. We’re hiring for a Senior Director of Nursing/Administrator to provide strategic, multi-state clinical leadership and operational governance across a designated region. This high-impact senior leadership role reports to our Head of Clinical Operations, and directly manages, coaches, and holds accountable the local Directors of Nursing (DONs)/Administrators to ensure the highest standards of patient care, operational efficiency, and regulatory compliance. A savvy leader, serving as the bridge between regional clinical performance and executive leadership comes naturally. Executive presence and strong communication skills are hallmarks of your leadership style, you have a proven ability to distill complex clinical data into actionable insights. Data-driven, you are comfortable utilizing business intelligence tools and clinical dashboards to measure performance and hold leaders accountable. Collaborative, you work easily across teams and balance a macro-level strategic mindset with a rigorous focus on execution; partnering cross-functionally with Senior General Managers, Compliance, HR, and Product teams to scale clinical capacity, exceed quality benchmarks, and ensure continuous survey readiness. If you are excited about the opportunity to build the future of care at home, we’d love to hear from you. This is a Full-Time Hybrid opportunity based in Nashville, Tennessee.

Requirements

Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN), Master of Health Administration (MHA), or MBA strongly preferred.
Current, unrestricted Registered Nurse (RN) license. Multistate/Compact license eligibility required (and willingness to obtain licensure in additional states within the region as necessary).
Minimum of 5+ years of progressive home healthcare experience.
5+ years of clinical leadership experience in a home health or comparable multi-site setting (e.g., Regional DON, VP of Clinical Operations, or senior-level agency administrator).
Demonstrated experience managing multi-site teams, successfully leading agencies through state/federal regulatory surveys, and scaling clinical operations during rapid growth.

Nice To Haves

Master of Science in Nursing (MSN), Master of Health Administration (MHA), or MBA strongly preferred.

Responsibilities

Own the aggregation, analysis, and presentation of regional clinical and quality performance metrics to the executive team.
Translate corporate clinical strategies into standardized, actionable operational practices across multiple markets and states.
Partner closely with Regional Senior General Managers to align clinical quality with market growth targets, and collaborate with HR, Compliance, Finance, and Product/IT teams to optimize operations.
Oversee regional clinical capacity models to ensure local agencies can support census growth, service line expansions, and geographic surges.
Standardize onboarding, mentoring, and professional growth pathways for local DONs/Administrators to build a resilient, high-performing leadership pipeline.
Monitor regional nursing turnover and burnout trends; partner with HR to implement regional strategies that champion clinician well-being and engagement.
Drive regional performance against enterprise clinical quality strategy, QA/QAPI initiatives, and utilization benchmarks.
Serve as the regional authority for the review and escalation of complex clinical edge cases, high-risk patient events, or severe adverse incidents.
Lead regional root-cause analyses for adverse events, ensuring systemic adjustments are implemented across all markets to avoid recurrence, in partnership with compliance, HR and legal as necessary.
Standardize a proactive, "always-ready" culture for CMS Conditions of Participation (CoPs), ACHC/Joint Commission accreditation, and varying state-specific regulations.
Oversee the preparation for, and response to, state surveys and federal audits. Review and sign off on all local Plans of Correction (POC) before execution.
Work alongside the corporate Compliance team to proactively identify, track, and mitigate legal, financial, and clinical operational risks across the region.
Partner directly with the Product/IT teams to drive technical updates that reduce clinician documentation burdens, and standardize clinical workflows across their markets.
Minimize unwarranted practice variations across state lines while ensuring strict adherence to individual state nursing practice acts.