director of operations home health

NIVA Health

<div><p><b>Director of Operations - Wound Care (Remote)</b></p><p></p><p>
NIVA Health is seeking an experienced and results-oriented Director of Operations to lead and scale operational performance across our growing mobile healthcare organization. This fully remote leadership position is responsible for overseeing regional clinical operations through a team of Directors of Nursing (DONs) who manage mobile wound care providers delivering services in skilled nursing facilities, assisted living communities, patients' homes, and other post-acute care settings.</p><p></p><p>
The Director of Operations will serve as a key operational leader responsible for driving performance, accountability, quality outcomes, patient satisfaction, provider productivity, workforce development, and operational excellence across multiple markets. This role requires a healthcare operations executive who can effectively lead through layers of management, develop high-performing teams, and create scalable systems that support rapid organizational growth.</p><p></p><p>
Candidates with backgrounds as Licensed Nursing Home Administrators (LNHA/NHA), Regional Healthcare Administrators, Executive Directors, Multi-Site Healthcare Operators, Home Health Administrators, Regional Directors of Operations, or Healthcare Practice Leaders are strongly encouraged to apply.</p><p><b>
Essential Responsibilities:</b></p><p><b>
Operational Leadership</b></p><ul><li>
Provide strategic and operational oversight for multiple markets and clinical service regions.</li><li>
Lead a team of Directors of Nursing responsible for supervising mobile wound care provider teams.</li><li>
Ensure consistent execution of operational standards, workflows, and performance expectations across all regions.</li><li>
Develop scalable systems, processes, and infrastructure to support organizational growth.</li><li>
Monitor operational performance and implement improvement initiatives to increase efficiency and effectiveness.</li></ul><p><b>
Leadership &amp; Team Development</b></p><ul><li>
Directly supervise and mentor Directors of Nursing and other operational leaders.</li><li>
Build a culture of accountability, collaboration, and continuous improvement.</li><li>
Establish performance expectations and leadership development plans for operational management teams.</li><li>
Partner with clinical leadership to recruit, retain, and develop top talent.</li></ul><p><b>
Mobile Healthcare Operations Management</b></p><ul><li>
Oversee operational support for mobile wound care providers treating patients in skilled nursing facilities, assisted living facilities, homes, and other care settings.</li><li>
Ensure provider scheduling, staffing models, patient access, and geographic coverage align with business objectives.</li><li>
Collaborate with clinical leadership to optimize patient care delivery workflows.</li><li>
Identify and remove operational barriers affecting provider productivity and patient outcomes.</li></ul><p><b>
Quality &amp; Compliance</b></p><ul><li>
Ensure compliance with federal, state, and organizational healthcare regulations.</li><li>
Monitor quality indicators, patient outcomes, and operational performance metrics.</li><li>
Lead operational readiness efforts for audits, accreditation reviews, and compliance initiatives.</li><li>
Partner with clinical leadership to drive continuous quality improvement efforts.</li></ul><p><b>
Financial &amp; Business Performance</b></p><ul><li>
Manage operational budgets and resource allocation.</li><li>
Monitor productivity, labor utilization, and operational efficiency metrics.</li><li>
Identify opportunities to improve profitability while maintaining exceptional patient care.</li><li>
Support forecasting, strategic planning, and market expansion initiatives.</li></ul><p><b>
Strategic Growth</b></p><ul><li>
Lead operational implementation of new markets, service lines, and organizational initiatives.</li><li>
Partner with executive leadership on strategic growth planning.</li><li>
Support integration of technology, automation, and workflow optimization initiatives.</li><li>
Drive successful organizational change management efforts.</li></ul><p></p><p><b>
Qualifications:</b></p><p><b>
Required</b></p><ul><li>
Bachelor's degree in Healthcare Administration, Nursing, Business Administration, Public Health, or related field.</li><li>
Minimum 5 years of healthcare operations leadership experience.</li><li>
Experience managing leaders who oversee clinical or healthcare service teams.</li><li>
Demonstrated success leading multi-site or geographically dispersed healthcare operations.</li><li>
Strong experience with staffing, workforce management, operational metrics, and performance improvement.</li><li>
Exceptional leadership, communication, and organizational skills.</li></ul><p><b>
Preferred</b></p><ul><li>
Licensed Nursing Home Administrator (LNHA/NHA) experience.</li><li>
Regional Director of Operations experience.</li><li>
Home Health, Post-Acute Care, Skilled Nursing, Assisted Living, Hospice, Mobile Healthcare, or Value-Based Care experience.</li><li>
Master's degree (MBA, MHA, MPH, MSN, or related field).</li><li>
Experience scaling healthcare operations across multiple states or markets.</li></ul><p></p><p><b>
Key Performance Indicators</b></p><p>
The Director of Operations will be accountable for:</p><ul><li>
Patient satisfaction and experience scores</li><li>
Clinical team retention and engagement</li><li>
Provider productivity and utilization</li><li>
Operational efficiency metrics</li><li>
Quality and compliance performance</li><li>
Market growth and expansion goals</li><li>
Revenue and profitability targets</li><li>
DON leadership development and performance</li></ul><p></p><p>
Nursing Home Administrators often possess the exact leadership experience needed to succeed at NIVA Health, including:</p><ul><li>
Managing large interdisciplinary healthcare teams.</li><li>
Supervising Directors of Nursing and clinical leadership.</li><li>
Leading multi-million-dollar healthcare operations.</li><li>
Driving quality outcomes and regulatory compliance.</li><li>
Managing staffing, scheduling, and workforce performance.</li><li>
Balancing patient care excellence with financial performance.</li><li>
Leading organizations through growth, change, and operational challenges.</li></ul><p></p><p>
At NIVA Health, these skills translate into leading a high-performing network of Directors of Nursing and mobile wound care providers delivering exceptional care wherever patients call home.</p><p></p><p><b>
Job Type: </b>Full-time (8am-5pm EST)</p><p><b>
Location: </b>Remote (U.S.)</p><p><b>
Travel Required:</b> 15&ndash;30% travel for leadership meetings, market visits, training, and operational oversight.</p><p><b><br>
Apply Today!</b><br>
Learn more about us at https://nivahealthwoundcare.com/ and become part of NIVA Health&rsquo;s mission to <i>redefine patient care&mdash;one healing wound at a time.</i></p></div>

Wound Care Director of Operations (Remote)

BAYADA Home Health Care

<div><p>The Manager, Pre-Billing Revenue Cycle Operations, is responsible for overseeing pre-billing and intake-related revenue cycle functions within a home health organization. This role ensures accurate patient intake, insurance verification, and related problem resolution to support timely reimbursement, regulatory compliance, and optimal cash flow. This position plays a critical role in reducing denials, improving clean claim rates, and ensuring operational excellence in the front-end revenue cycle processes specific to home health services.</p><br>
<p></p>
<p>
MINIMUM QUALIFICATIONS:</p>
<div>
<ul><li>Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.</li></ul>
<ul><li>Bachelor's degree in Healthcare Administration, Business, Nursing, or related field (or equivalent experience).</li></ul>
<ul><li>Five (5)+ years of revenue cycle experience, with at least two to three (2&ndash;3) years in home health or post-acute care.</li></ul>
<ul><li>Demonstrated experience in front-end revenue cycle functions</li></ul>
<ul><li>Strong knowledge of Medicare home health requirements and Patient-Driven Groupings Model (PDGM).</li></ul>
<ul><li>Proven leadership and team management experience.</li></ul>
<ul><li>Experience with home health Electronic Medical Record (EMR) platforms &ndash; e.g., Homecare Homebase (HCHB)</li></ul>
<ul><li>Advanced Microsoft Office and data analysis skills.</li></ul>
<ul><li>Strong written and verbal communication skills, attention to detail, and comfort interacting with all levels of management</li></ul>
<ul><li>Ability to read, write and effectively communicate in English.</li></ul></div><br>
<p></p>
<p>
PRIMARY RESPONSIBILITIES:</p>
<div>
<ul><li>Demonstrate and communicate the core values of BAYADA and The BAYADA Way.</li></ul>
</div>
<p><b>Intake &amp; Patient Access Oversight</b></p>
<div>
<ul><li>Ensure complete and accurate insurance verification before start of care (SOC)</li></ul>
<ul><li>Evaluate referrals for financial and reimbursement risk, including high-risk non-Medicare cases and high out-of[1]pocket (OOP) exposure.</li></ul>
<ul><li>Partner with clinical and sales teams to ensure appropriateness of admissions and financial viability.</li></ul>
<ul><li>Develop and implement front-end gatekeeping processes to avoid high-risk admissions where reimbursement is unlikely.</li></ul>
<ul><li>Develop or update training materials, guides, and reference documents to support team effectiveness.</li></ul>
</div>
<p><b>Billing Readiness &amp; Revenue Cycle Time Optimization</b></p>
<div>
<ul><li>Drive reduction in charge lag/days to bill.</li></ul>
<ul><li>Support Notice of Admission (NOA) timeliness to prevent penalties and lost revenue.</li></ul>
</div>
<p><b>Revenue Integrity &amp; Risk Mitigation</b></p>
<div>
<ul><li>Monitor and mitigate risk of non-payment, with emphasis on intake-related drivers.</li></ul>
<ul><li>Provide write-off and adjustment oversight, including root cause analysis.</li></ul>
<ul><li>Partner with billing and collections teams to resolve systemic front-end issues impacting reimbursement.</li></ul>
<ul><li>Analyze trends in front-end errors contributing to denials or delayed billing.</li></ul>
</div>
<p><b>Data Analytics and Reporting</b></p>
<div>
<ul><li>Develop, track, and report on key performance indicators, including:</li></ul>
</div><ul><li>Non-payment risk trends</li>
<li>Authorization turnaround times</li>
<li>Eligibility accuracy</li>
<li>Charge lag and days-to-bill</li>
<li>Front-end driven denial rates</li>
</ul><div><ul><li>Perform data analysis to identify trends and improvement opportunities</li></ul>
<ul><li>Analyze trends in front-end errors contributing to denials or delayed billing.</li></ul>
<ul><li>Implement process improvements based on data insights.</li></ul>
<ul><li>Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff</li></ul>
<ul><li>Perform related duties, or as required or requested by supervisor</li></ul></div><br>
<p></p>
<p>
BAYADA believes that our employees are our greatest asset:</p>
<ul>
<li><b>Base Salary: $ 72,000-85,000 / year </b>depending on qualifications</li>
<li><b>Quarterly Bonus Opportunity</b></li>
<li>BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program</li>
<li>To learn more about BAYADA Benefits, click here</li></ul><p></p><div><p><b><br>
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.</b></p>
<p>
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.</p>
<p>
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.</p></div></div>

Manager, Pre-Billing Revenue Cycle Operations, Home Health

Royal Health Care Services LLC

<p><b>Job Overview</b></p><p>The Home Health RN performs Skilled nursing assessments in client's homes. The role requires clinical expertise, instructional abilities, and knowledge of Florida Home Health Clinical operations. This is a Hybrid role with 90% in the field and 10% in the office.</p><p>*** Strong potential to grow into Full-Time Director of Nursing position</p><p>*** Opportunity for RN's looking for part-time extra income or grow their career. For faster response, go to www.myroyalhealth.com/careers</p><p><b>Responsibilities</b></p><ul><li>Conducting OASIS patient assessments in compliance with regulatory criteria</li><li>Coordinating patient care plans with physicians, hospitals, and other providers</li><li>Communicating care protocols to patients/families to ensure compliance with prescribed treatment plan and instructions</li><li>Monitoring regulatory information to ensure compliance with applicable healthcare regulations, standards, and policies</li><li>Maintaining accurate medical records and documentation in accordance with legal and ethical standards</li><li>Evaluating on-site skills competency for Home Health Aides</li></ul><p><b>Requirements</b></p><ul><li>Current Florida RN license</li><li>Ability to Pass Level 2 Background Check including fingerprinting</li><li>1-2 years nursing experience, preferably in home health settings</li><li>Ability to travel to client homes within Volusia and Flagler County</li><li>Ability to work independently with minimal direct supervision</li><li>Strong ability to communicate with diverse groups of people</li><li>Proficient with electronic health records and mobile communication systems</li><li>Knowledge of HIPAA confidentiality and data protection</li><li>Experience in home health clinical instruction preferred</li><li>Knowledge of Florida AHCA regulations for home health agencies preferred</li></ul><p>Pay: $40.00 - $45.00 per hour</p><p>Work Location: Hybrid remote in DeLand, FL 32720</p>

Home Health Nurse

Neighborhood Healthcare

<div><p><i>Community health is about more than just vaccines and checkups. It&rsquo;s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We&rsquo;re with you every step of the way, with the care you need for each of life&rsquo;s chapters. At Neighborhood, we are Better Together.</i></p>
<p><i>
Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.</i></p>
<p><i>
As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 100,000 people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.</i></p>
<p>
The PACE Center Director serves as the site-level leader for the assigned PACE Center and Alternative Care Settings (ACS), reporting to the PACE Program Director. This role has full accountability for operational performance, supporting strategic direction, and ensuring regulatory compliance across all service areas, including clinic, social work, rehabilitation, recreation, dietary, transportation, day center, and home care services.</p>
<p>
The Center Director provides direct supervision to discipline managers and supervisors, ensuring each department meets organizational standards for quality, compliance, participant satisfaction, and operational efficiency. The role integrates clinical and non-clinical operations to deliver seamless, participant-centered care and leads continuous process improvement initiatives.</p>
<p>
In the absence of the PACE Program Director, the Center Director assumes their responsibilities to ensure continuity of operations. This position is fully onsite.</p>
<p><b>
Responsibilities</b></p>
<ul>
<li>Owns overall center performance, including operational efficiency, participant experience, quality outcomes, and capacity management</li>
<li>Leads site-level operational decision-making, problem-solving, and resource allocation to address complex participant, staffing, and workflow challenges</li>
<li>Provides leadership to all aspects of the Center/ACS operations</li>
<li>Monitors Alternative Care Settings (ACS) services and care coordination to ensure quality, operational effectiveness, and regulatory compliance</li>
<li>Directly supervises next level discipline managers/supervisors for clinic, social work, day center, rehabilitation services, dietary, and transportation and home care</li>
<li>Oversee and hold department leaders accountable for execution of day-to-day operations, ensuring alignment with program standards and performance expectations</li>
<li>Ensures IDT meetings are effectively facilitated and that designated leaders and trained designees maintain compliance with interdisciplinary care planning standards</li>
<li>Provides competency training for designees who can facilitate IDT meetings to required standards</li>
<li>Oversees participant utilization and resource allocation in coordination with the PACE Medical Director to ensure appropriate and efficient care delivery</li>
<li>Ensures job responsibilities, authorities, and accountability of all direct reports are clearly defined and understood</li>
<li>Oversee hiring, orientation, training, and ongoing development of center-based discipline managers, holding them accountable for department performance</li>
<li>Reviews staffing levels, enrollment, and center capacity to address and resolve operational issues</li>
<li>Ensures adherence to established program workflows, policies, and operational standards across all service areas within the center, and addresses variances to maintain alignment with program expectations.</li>
<li>Ensure department leaders effectively manage contract employees and service providers in collaboration with Quality &amp; Compliance</li>
<li>Participates in onboarding and oversight of key contracted vendors and providers utilized by the Center</li>
<li>Holds department leaders accountable for effective IDT workflows, including timely development, documentation, and communication of participant care plans</li>
<li>Ensure department leaders maintain compliance with documentation standards, service delivery timelines, and regulatory requirements</li>
<li>Ensures effective Skilled Nursing Facility (SNF) care coordination and integration with IDT processes</li>
<li>Ensures department leaders implement orientation, in-service training, and ongoing staff development in alignment with regulatory and organizational standards</li>
<li>Serves as a liaison between NHC PACE and other community service providers</li>
<li>Participates in the NHC PACE leadership team and serves as liaison between administration and staff</li>
<li>Works with Quality and Compliance on participant enrollment and disenrollment processes in alignment with regulatory requirements</li>
<li>Reviews participant rights issues, grievances, and appeals with the Program Director and Quality &amp; Compliance, ensuring proper documentation, investigation, and resolution</li>
<li>Participates in NHC PACE committees and relevant sub-committees to support program operations, quality, and compliance Leads center-wide quality improvement initiatives and ensure performance outcomes align with established targets</li>
</ul>
<p><b>Qualifications</b></p>
<p><b>
Education/Experience</b></p>
<ul>
<li>Bachelor&rsquo;s degree in business administration, health administration, rehabilitative therapy, nursing, social work, recreational therapy, or related health or human services field required</li>
<li>Master&rsquo;s degree in healthcare administration, business administration, public health, or related discipline is strongly preferred</li>
<li>Minimum of five (5) years of progressive leadership experience in healthcare or aging services is required</li>
<li>Minimum of three (3) years of experience working with frail or elderly populations is required<br>
</li>
<li>Current Basic Life Support (BLS) certification required upon hire and must be maintained as a condition of employment. These courses must follow AHA guidelines- may be completed through approved online providers such as ProMed or other equivalent programs that meet recognized BLS standards.
<ul><li>In addition, current CPR and First Aid certification are required for all PACE employees in accordance with CMS and DHCS requirements. First Aid training will be provided at onboarding and must be renewed annually.</li>
</ul></li><li>Valid California Driver&rsquo;s License required</li>
<li>Proven experience in PACE program operations or a comparable integrated care model strongly preferred</li>
<li>Professional licensure in a relevant discipline preferred</li>
</ul>
<p><b>Additional Qualifications (Knowledge, Skills and Abilities)</b></p>
<ul>
<li>Comprehensive knowledge of health care delivery systems, PACE program regulations, quality improvement, and the medical and non-medical needs of the elderly</li>
<li>Expertise in regulatory compliance, audit readiness, and interdisciplinary team coordination</li>
<li>Demonstrated ability to lead and mentor managers and supervisors across multiple disciplines</li>
<li>Proven ability to implement and sustain standardized processes across multiple sites while addressing variability</li>
<li>Excellent verbal and written communication skills, including superior composition, typing, and proofreading skills</li>
<li>Ability to interpret a variety of instructions in written, oral, diagram, or schedule form</li>
<li>Ability to successfully manage multiple tasks and priorities simultaneously</li>
<li>Excellent planning, organizational, and strategic problem-solving ability</li>
<li>Ability to work collaboratively as part of a leadership team as well as independently</li>
<li>Ability to work with highly confidential information in a professional and ethical manner</li>
</ul>
<p>Physical Requirements</p>
<ul>
<li>Ability to lift/carry 15 lbs</li>
<li>Ability to sit/stand for long periods of time</li>
</ul>
<p><i>Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!</i></p>
<p><i>
Pay range: $124,100 - $191,000 annually, depending on experience.</i></p>
<p><b>
Compensation Disclosure:</b> The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to the candidate&rsquo;s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.</p><h4 class="jobSectionHeader"><b>
Education</b></h4>
Required<ul><li>
Bachelors or better</li></ul><h4 class="jobSectionHeader"><b>
Licenses &amp; Certifications</b></h4>
Required<ul><li>
Basic Life Support</li></ul><p>
Equal Opportunity Employer<br>
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</p></div>

Director-PACE Center(Murrieta)

Integrated HomeCare Services

<div><p><b>Who we are:</b></p>
<div>
<p>IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients &ndash; 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1.</p>
<p>
With over 15 years of experience, we are the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services. If you are passionate about inspiring, motivating, and leading teams this opportunity could be for you and we want to hear from you!</p>
<p>
Join our team as we strive for excellence through teamwork. We are committed to delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.</p>
<p>
Full time team members competitive compensation package, include but not limited to:</p>
<ul>
<li>Medical, Vision, Dental, Short- and Long-term insurance</li>
<li>Paid Federal Holidays</li>
<li>17 days of PTO</li>
<li>Employer paid life insurance</li>
<li>401K with employer contribution</li>
<li>Wellness program with reward incentives</li>
<li>Employee recognition and reward programs</li>
</ul>
<p><b>What You Will Be Doing</b></p>
<p>
The Senior Director of Revenue Cycle Management (RCM) is a key leader responsible for directing and optimizing all aspects of the revenue cycle for the organization. This role ensures accurate, compliant, and efficient billing, coding, reimbursement, and collections processes that support strong financial performance and operational excellence. The Senior Director will lead operations, teams, technology initiatives, and cross-department coordination to drive end-to-end revenue cycle results.</p>
<ul>
<li>Bachelor&rsquo;s degree in healthcare administration, Business, Finance, or related field.</li>
<li>7&ndash;10+ years of progressive revenue cycle leadership experience, with at least 5 years in home health or post-acute care.</li>
<li>Deep knowledge of Medicare home health regulations, PDGM reimbursement model, OASIS requirements, and payer billing rules.</li>
<li>Proven track record of reducing AR, improving cash flow, and enhancing operational efficiency.</li>
<li>Strong leadership skills with experience managing multi-disciplinary teams.</li>
<li>Expertise with home health RCM systems (e.g. Brightree, HRP, etc.) and billing platforms.</li>
<li>
<p>Strategic thinking &amp; financial acumen</p>
</li>
<li><p>Deep regulatory and compliance expertise</p>
</li>
<li><p>Process improvement &amp; operational excellence</p>
</li>
<li><p>Change management &amp; technology adoption</p>
</li>
<li><p>Data-driven decision-making</p>
</li>
<li><p>Collaborative leadership across clinical, financial, and administrative departments</p>
</li>
</ul><p><b>Join our team as we strive for excellence through teamwork, where our patients are #1!</b></p>
<p>
IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.</p>
</div><h4 class="jobSectionHeader"><b>
Behaviors</b></h4>
Preferred<ul><li>
Thought Provoking: Capable of making others think deeply on a subject</li><li>
Leader: Inspires teammates to follow them</li><li>
Innovative: Consistently introduces new ideas and demonstrates original thinking</li><li>
Team Player: Works well as a member of a group</li><li>
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well</li><li>
Enthusiastic: Shows intense and eager enjoyment and interest</li><li>
Dedicated: Devoted to a task or purpose with loyalty or integrity</li></ul><h4 class="jobSectionHeader"><b>
Motivations</b></h4>
Preferred<ul><li>
Goal Completion: Inspired to perform well by the completion of tasks</li><li>
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization</li><li>
Self-Starter: Inspired to perform without outside help</li></ul><p>
Equal Opportunity Employer<br>
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</p></div>

Senior Director of Revenue Cycle Management

Illumination Health + Home

<div>
 <em>
  <strong>
   &ldquo;Every person deserves compassion, dignity, and the safety of a place to call home.&rdquo;
   <br/>
   <br/>
  </strong>
 </em>
 <em>
  Homelessness is the largest social and public health crisis in California. Illumination Health + Home is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IH+H currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.
  <br/>
  <br/>
 </em>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 The Director of Healthcare Programs (RN) is a senior leadership role responsible for the strategic oversight, clinical quality, and operational integration of healthcare services across Illumination Health and Home programs. This role will lead all medical staff within the Recuperative Care program and supervise all Enhanced Care Management (ECM) programs and staff, while advancing and scaling care management services across the organization.
 <br/>
 <br/>
 As a key member of the senior leadership team, the Director will partner closely with operations to ensure high-quality, compliant, and patient-centered care delivery that aligns with organizational goals and community impact.
 <br/>
 <br/>
 The pay range for this position is
 <strong>
  $140,000 - $155,000 annually
 </strong>
 , depending on experience.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 Clinical Leadership &amp; Oversight
 <br/>
 <br/>
 <ul>
  <li>
   Provide direct supervision and leadership to all medical staff within the Recuperative Care program, including RNs, LVNs, and medical assistants
  </li>
  <li>
   Establish and maintain clinical standards, protocols, and workflows to ensure high-quality, evidence-based care
  </li>
  <li>
   Monitor clinical performance metrics and implement quality improvement initiatives
  </li>
  <li>
   Ensure compliance with all regulatory, licensing, and accreditation requirements
   <br/>
   <br/>
  </li>
 </ul>
 Program Development &amp; Care Management
 <br/>
 <br/>
 <ul>
  <li>
   Lead the enhancement and expansion of the organization&rsquo;s care management programs, including ECM (Enhanced Care Management) and related services
  </li>
  <li>
   Develop scalable models that integrate medical, behavioral health, and social services
  </li>
  <li>
   Support the development and implementation of standardized case management workflows, documentation practices, and client engagement protocols across programs
  </li>
  <li>
   Develop strategies to improve client acuity management, service prioritization, and caseload efficiency while maintaining quality of care
  </li>
  <li>
   Utilize data and outcomes to drive continuous improvement and demonstrate impact
  </li>
  <li>
   Assist in the development of KPIs and performance improvement plans related to medical and case management effectiveness, client outcomes, and service delivery standards.
  </li>
  <li>
   Partner closely with all CalAIM-related programs to ensure alignment, integration, and optimal performance across services
   <br/>
   <br/>
  </li>
 </ul>
 Operational Partnership
 <br/>
 <br/>
 <ul>
  <li>
   Collaborate closely with the Operations team to align clinical services with program workflows, capacity planning, and client needs
  </li>
  <li>
   Promote interdisciplinary collaboration between medical, behavioral health, and case management teams to support whole-person, client-centered care
  </li>
  <li>
   Support efficient utilization of resources while maintaining high standards of care
  </li>
  <li>
   Participate in program planning, budgeting, and performance management
   <br/>
   <br/>
  </li>
 </ul>
 Leadership &amp; Strategy
 <br/>
 <br/>
 <ul>
  <li>
   Serve as a key member of the senior leadership team, contributing to organizational strategy, decision-making, and growth initiatives
  </li>
  <li>
   Foster a culture of collaboration, accountability, and mission-driven service
  </li>
  <li>
   Identify opportunities for innovation, partnerships, and funding to support program growth
  </li>
  <li>
   Ensure care management services are culturally responsive, equitable, and aligned with organizational values and client-centered practices
  </li>
  <li>
   Represent Illumination Health and Home in external meetings with healthcare partners, payers, and community stakeholders
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Experience/Minimum Qualifications
  <br/>
  <br/>
 </strong>
 Required:
 <br/>
 <br/>
 <ul>
  <li>
   Active Registered Nurse (RN) license in the State of California
  </li>
  <li>
   Master&rsquo;s degree in Nursing, Public Health, Healthcare Administration, or related field preferred
  </li>
  <li>
   Minimum of 5&ndash;7 years of progressive leadership experience in healthcare programs
  </li>
  <li>
   Experience managing clinical teams and overseeing care delivery in complex settings
  </li>
  <li>
   Strong knowledge of care management models, including ECM and Medi-Cal populations
  </li>
  <li>
   Experience overseeing interdisciplinary care coordination and case management services within healthcare or community-based programs
  </li>
  <li>
   Experience developing and implementing workflows related to case management documentation, client engagement, and continuity of care
  </li>
  <li>
   Experience working with underserved or vulnerable populations
   <br/>
   <br/>
  </li>
 </ul>
 Preferred:
 <br/>
 <br/>
 <ul>
  <li>
   Experience in recuperative care, homeless services, or community-based healthcare
  </li>
  <li>
   Knowledge of CalAIM Community Supports, discharge planning, utilization management, and care transition processes
  </li>
  <li>
   Familiarity with trauma-informed care, motivational interviewing, harm reduction, and client-centered service delivery models
  </li>
  <li>
   Proficiency in MS Office Suite i.e. Outlook, Word, Excel, Teams
   <br/>
   <br/>
  </li>
 </ul>
 <em>
  We recognize that strong candidates may come from a variety of healthcare leadership backgrounds. This role may be an excellent fit for Registered Nurses with leadership experience in case management, care management, population health, utilization management, complex discharge planning, community-based healthcare, ECM programs, managed care, recuperative care, or Medi-Cal-focused programs.
  <br/>
  <br/>
  Candidates who have led interdisciplinary teams, managed clinical operations, partnered with payers, or overseen documentation and care coordination programs are encouraged to apply
  <br/>
  <br/>
 </em>
 <strong>
  Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical Insurance funded up to 91% by Illumination Foundation (Kaiser and Blue Shield), depending on the plan
  </li>
  <li>
   Dental and Vision Insurance
  </li>
  <li>
   Life, AD&amp;D and LTD Insurance funded 100% by Illumination Foundation
  </li>
  <li>
   Employee Assistance Program
  </li>
  <li>
   Professional Development Reimbursement
  </li>
  <li>
   401K with Company Matching
  </li>
  <li>
   15 days vacation PTO/year
  </li>
  <li>
   6 days sick PTO/year
  </li>
  <li>
   10 days holiday PTO/year
  </li>
  <li>
   Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans
   <br/>
   <br/>
  </li>
 </ul>
 Powered by JazzHR
 <br/>
 <br/>
 2QEV5L2M6y
</div>


Director of Healthcare Programs

Amedisys

<div>Overview:
<div><div><div><b>RN - Clinical Manager</b></div><div><ul><li><div><b>
Associate or bachelor's degree in nursing.</b></div></li><li><div><b>
Current RN license, specific to the state(s) you are assigned to work.</b></div></li><li><div><b>
One </b><b>year of clinical RN experience in home health or hospice.</b></div></li><li><b>
One year of RN clinical management experience.</b></li><li><b>
Current CPR certification.</b></li></ul></div><div></div><div><br>
</div><div><div><b>
Make a difference every day as an Amedisys registered nurse clinical manager</b></div><div>
Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.</div></div><div>
</div><div><b>
Attractive pay</b></div><ul><li>
$110K to $115K salary range depends on Home Health experience.
</li></ul><div>
</div><div><b>What's in it for you</b></div><div><ul><li>
Choice of PPO or HSA medical plans with free telehealth.</li><li>
Paid time off.</li><li>
Up to $1,000 in free healthcare services with Amedisys HSA plan.</li><li>
Up to $500 in wellness rewards for activities-use for spa, gym, sports, hobbies, pets and more.*</li><li>
Mental health support with up to five free counseling sessions through the Employee Assistance program.</li><li>
401(k) with a company match.</li><li>
Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li><li>
Fleet vehicle program (restrictions apply) and mileage reimbursement.</li><li>
And more.</li></ul><ul><li><i>Benefit eligibility can vary by position and shift status.</i></li><li><i>Participation requires enrollment in an Amedisys medical plan.</i></li></ul></div></div></div>
Responsibilities:
<div><div><ul><li><div>
Recommends employment decisions for staff to the director of operations, including decisions to hire, fire, advance, promote or change status.</div></li><li>
Responsible for overall quality of patient care and clinical performance of nurses and aides.</li><li>
Organizes clinical operations for the care center.</li><li>
Reviews requests for services and determines patient eligibility/suitability for home care services. Works with intake in coordinating patient referrals and admissions.</li><li>
Oversees scheduling.</li><li>
Oversees payor verification and precertification requirements.</li><li>
Reviews documentation of other staff members and ensures missing, incomplete and/or untimely documentation issues are resolved.</li><li>
Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC).</li><li>
Regularly evaluates the needs of the patient and makes necessary revisions to the plan of care in collaboration with clinicians.</li><li>
May provide direct patient care on an infrequent basis in times of emergency.</li><li>
Participates in the on-call process.</li><li>
Assists with training of staff to ensure quality care, compliance and fiscal responsibility.</li><li>
Participates in the investigation and resolution of patient/family/physician concerns.</li></ul></div></div><p></p>
Qualifications:
<div><div><ul><li><div>Associate or bachelor's degree in nursing.</div></li><li><div>
Current RN license, specific to the state(s) you are assigned to work.</div></li><li><div>
One year of clinical RN experience in home health or hospice.</div></li><li>
One year of RN management experience.</li><li>
Current CPR certification.</li></ul></div><div><div><i>
Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.</i></div></div></div><p><i>
Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.</i></p></div>

Clinical Manager

Search 10000+ Director of operations home health jobs near you this June. New roles added regularly across leading industries. Apply today.