Founding Home Health Clinical Director (RN)

⭐ Your Mission

To deliver skilled nursing services AND design, launch, and scale a statewide Home Health division - building the systems, workflows, team, and payer relationships needed to create a financially strong program with exceptional clinical quality.

You are not inheriting a system.

You are building the system.

You will begin hands-on and grow into the role of General Manager of Home Health Services as the division becomes profitable.

⭐ What You Will Lead - AND Do

1. Build & Launch (Day 1)

• Lead the clinical launch of Bridging Care’s licensed Home Health agency under WAC 246-335
• Architect clinical workflows: referral acceptance → SOC assessment → Plan of Care → skilled visits → documentation → billing → QA
• Create documentation templates, clinical standards, and compliance protocols from scratch
• Support MCO contracting (CHPW, CCW, Molina, UHC, Kaiser, Wellpoint)
• Integrate Home Health services seamlessly with Bridging Care’s 2,200-member care coordination model
• Support referral acceptance decisions from a clinical appropriateness and safety perspective

2. Provide Clinical Services (Bootstrap Phase)

To keep the division lean and self-funding, you will:

• Conduct Start of Care (SOC) assessments, initial evaluations, and skilled nursing visits
• Develop and implement individualized Plans of Care
• Coordinate interdisciplinary services across skilled disciplines (RN, PT, OT, ST, HHA)
• Maintain excellent documentation and compliance with WAC 246-335 standards
• Begin generating revenue immediately while building the division

This phase lasts only until the program becomes profitable - then your caseload decreases as leadership expands.

3. Grow & Scale (Months 4–12)

• Hire and supervise additional skilled clinicians - RNs, PTs, OTs, STs, and HHAs (initially 1099, then W2)
• Build an integrated, multidisciplinary clinical team across Pierce County and South King County
• Implement dashboards, KPIs, and scalable operational processes
• Develop productivity, quality, and financial performance systems

4. Operate & Optimize (Months 6–18)

• Own clinical quality, compliance, documentation standards, and audit readiness
• Manage toward productivity, financial performance, and strong patient outcomes
• Improve access, reduce missed visits, and build a sustainable clinical model
• Collaborate with Quality/Compliance on monthly audits and corrective action plans
• Serve as the key operational leader for Home Health services
• Prepare for promotion to General Manager / VP of Home Health Services

⭐ Who You Are

✔ You are BOTH clinical AND operational

You enjoy providing direct patient care - and you love building systems, workflows, and programs.

✔ You are a builder, not a maintainer

You thrive in environments where you get to create structure, not just follow it.

✔ You think in terms of “Who, not How”

You know how to recruit the right clinicians and build a high-performing interdisciplinary team.

✔ You can talk to payers, regulators, and clinicians

Comfortably covering compliance, documentation, quality, outcomes, workflows, and financial performance.

✔ You have built or scaled a healthcare program before

You bring demonstrated experience launching, growing, or turning around a clinical program or healthcare operation, including building teams, standing up workflows, and driving quality outcomes. Home health experience is a plus, but what matters most is that you know how to build.

✔ You are entrepreneurial and mission-driven

You want to improve lives AND build a sustainable, profitable division.

✔ You are hungry for growth

You want a pathway to become a VP of Home Health Services - and eventually lead a statewide scalable operation.

⭐ Qualifications

Required:

• Current RN license in good standing in Washington State (Required)
• Associate’s or Bachelor’s degree in Nursing (BSN preferred)
• Demonstrated experience building, scaling, or turning around a healthcare program or clinical operation , including staffing, compliance, and quality outcomes
• Minimum 5 years of healthcare experience, including 2+ years in a clinical leadership or program management role
• Demonstrated experience supervising skilled clinical staff (RN/LPN, PT/OT/ST, HHA under skilled Plan of Care)
• Strong knowledge of healthcare regulatory and documentation requirements (WAC 246-335 home health knowledge is a plus but not required)
• Ability to perform patient assessment (medical history, physical health, mental health considerations, cognitive screening)
• Strong communication, leadership, coaching, and performance management skills
• Proficient with Microsoft Office and ability to use agency systems (OneHap and related tools)
• Clean criminal background check and ability to meet credentialing requirements

Preferred but not required:

• BSN or MSN degree
• Prior home health or home-based care experience
• Experience with WAC 246-335 home health requirements
• Experience with WA Medicaid, MCOs, or managed care contracting
• Experience with DOH licensing, surveys, or audits
• Experience in startups, integrated care, community health, or multidisciplinary settings
• OASIS assessment experience

Pay: $110,000.00 - $135,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have an Associate's or Bachelor's degree in Nursing?
• Do you have experience supervising skilled clinical staff (RN/LPN as applicable, PT/OT/ST, HHA under skilled POC)?
• Do you have strong knowledge of WAC 246-335 requirements and home health documentation expectations?

Experience:

• healthcare: 5 years (Required)

License/Certification:

• RN license in good standing in WA state (Required)

Work Location: Hybrid remote in Federal Way, WA