Director of Nursing – Home Health

We are seeking an experienced, transformational Director of Nursing (DON) to lead clinical operations for our rapidly growing Medicaid Home Health, Private Duty Nursing (PDN), and Personal Assistance Services (PAS) organization in Houston, Texas.

The Director of Nursing is responsible for ensuring exceptional patient care, clinical quality, regulatory compliance, and professional practice across the Home Health, PDN, and PAS service lines. This leader will build and standardize clinical systems, develop nursing leadership, strengthen quality outcomes, and create a culture of clinical excellence that supports significant organizational growth.

The DON will partner closely with the COO, CFO, Chief Growth Officer, and executive leadership to ensure clinical operations remain patient-centered, compliant, scalable, and aligned with the Company's long-term strategic goals.

Clinical Leadership

•     Provide executive oversight of all clinical operations across PDN and PAS.

•     Ensure delivery of safe, high-quality, patient-centered care.

•     Develop and mentor Clinical Managers, Nursing Supervisors, and field clinicians.

•     Promote a culture of accountability, professionalism, and clinical excellence.

Clinical Operations

•     Standardize clinical workflows, documentation, and care delivery processes.

•     Oversee patient admissions, care planning, supervisory visits, recertifications, and discharge planning.

•     Improve clinical productivity while maintaining exceptional quality outcomes.

•     Partner with operations to improve referral-to-admission turnaround times and continuity of care.

Quality & Compliance

•     Lead the Company's Quality Assurance and Performance Improvement (QAPI) program.

•     Ensure compliance with all federal, state, Medicaid, licensing, and regulatory requirements.

•     Maintain continuous survey readiness.

•     Monitor clinical documentation, audits, incident reporting, infection prevention, and risk management.

•     Lead corrective action plans and continuous quality improvement initiatives.

Clinical Education & Workforce Development

•     Develop orientation, competency validation, and continuing education programs.

•     Build leadership development programs for nursing supervisors and clinical managers.

•     Partner with Human Resources to improve nurse recruitment, onboarding, retention, and engagement.

•     Foster a positive clinical culture that attracts and retains exceptional nursing professionals.

Clinical Performance & Analytics

•     Develop and monitor clinical dashboards tracking patient outcomes, hospitalizations/readmissions, infection rates, documentation quality, OASIS measures, clinical productivity, patient satisfaction, staff competency/retention, and survey readiness.

•     Use clinical data to drive continuous improvement and support operational decision-making.

Requirements

Required

•     Active Texas Registered Nurse (RN) license in good standing

•     Bachelor's degree in Nursing (BSN) required; Master's degree preferred

•     Minimum of 5 years of nursing leadership experience in relevant home-based care settings

•     Strong knowledge of Medicaid regulations, clinical operations, and quality improvement

•     Proven ability to lead teams, develop leaders, and improve clinical performance

•     Experience in Home Health, PDN, and/or PAS strongly preferred

Preferred

•     Multi-site healthcare leadership experience

•     Experience with survey readiness, accreditation, and regulatory compliance

•     Strong knowledge of electronic health records and healthcare technology

Benefits

•     Competitive base salary, commensurate with experience

•     Performance-based bonus opportunity

•     Medical insurance

•     Paid time off and paid holidays

•     Mileage/travel reimbursement (as applicable)