Home Health Director of Nursing (RN)

Job Description

Job Description

Founding Clinical Director: build and lead our new Home Health agency from day one.

⭐ 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

\nCompany Description

Bridging Care is a Washington State-based telehealth organization committed to providing compassionate, high-quality behavioral health services to individuals where they are. We offer outpatient virtual counseling for mental health, substance use disorder (SUD), and co-occurring conditions serving Medicaid MCO members, Community Health Plan of Washington (CHPW) participants, and private-pay clients alike.

Our team believes that everyone deserves access to quality care, and we are dedicated to meeting our clients with empathy, cultural responsiveness, and clinical excellence. If you are passionate about making a real difference in the lives of Washington State residents and want to be part of a team that truly puts clients first, we want to hear from you.

Company Description

Bridging Care is a Washington State-based telehealth organization committed to providing compassionate, high-quality behavioral health services to individuals where they are. We offer outpatient virtual counseling for mental health, substance use disorder (SUD), and co-occurring conditions serving Medicaid MCO members, Community Health Plan of Washington (CHPW) participants, and private-pay clients alike.\r\n\r\nOur team believes that everyone deserves access to quality care, and we are dedicated to meeting our clients with empathy, cultural responsiveness, and clinical excellence. If you are passionate about making a real difference in the lives of Washington State residents and want to be part of a team that truly puts clients first, we want to hear from you.