Registered Nurse - RN - Director of Nursing and Clinical Operations

Job Description

Job Description

Benefits:

• 401(k) matching
• Bonus based on performance
• Paid time off

Position Summary Atlantic AllCare Inc. is a CHAP-accredited, AHCA-licensed non-skilled home care agency serving Broward and Palm Beach counties since 1989.   Atlantic AllCare is seeking a seasoned registered nurse leader to serve as Director of Nursing and Clinical Operations and as deputy to the Administrator. This is not a pure clinical oversight role: the ideal candidate brings demonstrated experience managing home care operations, developing new clinical programs, and engaging referral sources. The person hired will be serving as the agency's backup Administrator of Record. 

We are looking for someone who understands that clinical excellence and business growth are not separate priorities. The right candidate walks into a client home with the same confidence they bring to a referral partner meeting or a program design session.
Key Responsibilities
Clinical Oversight and Quality
•  Provide direct supervision of field caregivers, CNAs, and home health aides across all active cases in Broward and Palm Beach counties.
•  Conduct and oversee initial client assessments, care plan development, supervisory visits, and care plan updates in compliance with AHCA and CHAP standards.
•  Manage all clinical documentation for accuracy, timeliness, and regulatory compliance within WellSky.
•  Lead quality assurance processes including incident reporting, grievance review, infection control, and QAPI program management.
•  Maintain CHAP accreditation standards and prepare the agency for continuous survey readiness.
•  Serve as the primary clinical contact for clients, families, and payer representatives on care-related matters.
•  Experience with Medicare home health billing, conditions of participation, or PECOS enrollment processes; familiarity with Medicare certification requirements preferred.

Operations and Administration
•  Function as backup Administrator of Record under AHCA licensure, with the ability to cover all administrative functions in the Administrator's absence.
•  Participate in on-call rotation and ensure 24/7 clinical coverage protocols are maintained and documented.
•  Oversee caregiver onboarding, competency testing, orientation, and ongoing training programs.
•  Monitor scheduling and staffing ratios to ensure client coverage, reduce overtime, and maintain compliance.
•  Collaborate with the Administrator and contracted CFO on clinical cost management and staffing efficiency.

Business Development and Referral Engagement
•  Actively engage referral sources including hospital discharge planners, social workers, assisted living facilities, skilled nursing facilities, long-term care insurance case managers, and physician offices.
•  Represent Atlantic AllCare at community events, healthcare networking functions, and professional association meetings in Broward and Palm Beach counties.
•  Conduct joint visits with the Administrator to high-value referral partners and prospective clients.
•  Support conversion of referred inquiries to active cases through timely assessment scheduling and follow-up.
•  Maintain relationships with existing referral sources to retain volume and identify expansion opportunities.

Program Development
•  Lead the design and implementation of new clinical service lines as the agency expands, beginning with a structured case management program.
•  Identify gaps in current service delivery and propose evidence-based program models with defined outcomes and operational protocols.
•  Develop policies, procedures, and clinical guidelines for new programs consistent with AHCA, CHAP, and applicable payer requirements.
•  Evaluate opportunities in hospice supplemental staffing, veterans care, and Medicaid waiver service expansion as payer diversification initiatives advance.

Qualifications

Required
•  Active, unrestricted Florida Registered Nurse (RN) license in good standing.
•  Minimum 5 years of nursing experience, with at least 3 years in a home care, home health, or community-based setting.
•  Demonstrated supervisory or management experience with direct reports.
•  Working knowledge of AHCA home care regulations and Florida administrative code governing HHA licensure.
•  Proficiency with EMR platforms; WellSky experience is preferred.
•  Local residency in Broward or Palm Beach County - field visit obligations require reliable proximity to the service area.
•  Valid Florida driver's license and reliable transportation.

Strongly Preferred
•  Experience with CHAP or Joint Commission accreditation processes.
•  Prior experience as a Director of Nursing, DON designee, or clinical director in a home care or home health agency.
•  Demonstrated referral development activity - relationships with discharge planners, case managers, or ALF/SNF administrators in South Florida.
•  Experience building or launching a clinical program from design through implementation.
•  Bilingual English and Spanish preferred given patient and referral source demographics in Broward and Palm Beach counties.
•  Familiarity with long-term care insurance payer requirements and care authorization processes.

Compensation and Benefits
Base Salary | Commensurate with experience; Director-level range disclosed to qualified candidates upon screening
Performance Bonus | Tied to census growth, quality metrics, and referral development outcomes
Paid Time Off | Competitive PTO policy; details provided at offer stage
Professional Development | Support for continuing education and license maintenance
Growth Path | Defined pathway to Administrator of Record designation as enterprise scales

How to Apply
Qualified candidates should submit a current resume and a brief cover letter describing their supervisory experience, referral development background, and reason for interest in this role to View email address on ziprecruiter.com.