Director, Home Health Administrator

Director, Home Health Administrator

Leading Faith-Based, Not-for-Profit Health System Home Health Agency Operations

Altamonte Springs, FL (Seminole County) Full-Time Day Shift On-Site

Compensation: $96,266 - $179,046 Full Benefits Beginning Day One

Most home health administrators we speak with don't quit over one big thing. They quit over a stack of small ones: a corporate office that wants quarterly margin lift without sending the resources, a clinical team absorbing the documentation burden of an agency twice their size, regulatory whiplash from PDGM rate cuts and the expanded HHVBP scorecard that lands on the leader's desk first - and the quiet recognition that the person at the top is the only one in the building without a peer to call when something breaks.

If any of that sounds like the last 18 months of your career, you are not the problem. The structure is.

This role is built for the operator who is ready to stop running an agency alone - and start running one inside a system that actually shows up.

Our client - a Forbes-recognized, faith-based, not-for-profit health system with 50+ hospital campuses and more than 1,200 care sites across nine states, recently named to Becker's 150 Top Places to Work in Healthcare and Newsweek's America's Greatest Workplaces - is seeking a Director / Home Health Administrator for one of its Central Florida home health agencies, based in Altamonte Springs. You will own the full clinical, operational, and financial performance of the agency - direct day-to-day operations, regulatory and accreditation compliance, payer credentialing, QAPI, intake and scheduling oversight, and the hospital and care-management relationships that drive your referral pipeline. You will function as the senior-most leader on site, supported by clinical supervisors and 24/7 RN coverage, and as a peer on a system-wide post-acute leadership team - not as a solo administrator in a one-agency silo.

Why This Role Is Different
• An Actual Peer Group at the Top - You are not the only experienced operator in the room. You sit on a system-wide post-acute leadership group with peers running adjacent home health agencies, hospice, skilled nursing, and inpatient rehab. Isolation at the top is the most under-discussed driver of senior home health turnover - and this role explicitly removes it.
• Resourced Autonomy - Run your P&L. Lead your clinical team. Set the strategy for your agency. ASPE's analysis of the National Home Health Aide Survey and the Home Healthcare Nurse Job Satisfaction Scale literature both rank autonomy as the #1 driver of retention for this role - and here it comes paired with system-level analytics, technology, and compliance infrastructure so autonomy doesn't mean improvising.
• A Census That Comes to You - You inherit a fully integrated, system-owned referral pipeline - acute hospitals, care management, primary care, skilled nursing, and outpatient practices all routing into your agency. With agency-wide industry rejection rates at all-time highs and 16.4% applicant hire rates industry-wide (Activated Insights, 2024), a stable, captive referral stream is no small differentiator.
• A Day-Shift Operating Rhythm - Full-time, day shift, Monday-Friday operating cadence. Academic studies have linked schedule volatility to a 50% increase in clinical-leader quit probability; the most stable schedules cut that probability by 40%. This role is built on the stable side of that curve.
• A System That Reinvests in Its Leaders - Career development pathways, tuition assistance, and access to a dedicated, on-campus Leadership Institute for current and emerging executives. The system has produced 1,800+ internal promotions and scores in the top decile for healthcare engagement (Becker's, 2026) - your next step is more likely to be inside this organization than outside of it.
• A Culture That Holds Up Under Scrutiny - Glassdoor Best Place to Work (2025). Fortune Best Workplaces in Health Care (2025). Becker's 150 Top Places to Work in Healthcare. Forbes America's Best Employer by State. Newsweek America's Greatest Workplaces for Diversity 2024. A whole-person care philosophy - body, mind, and spirit - applied to patients and to the people who lead patient care.

REQUIRED
• Bachelor's degree in Nursing or a healthcare-related field (an equivalent combination of education and 4+ additional years of relevant experience may be considered).
• 5+ years of progressive leadership running home-based care operations or comparable healthcare operations.
• Active Registered Nurse (RN) license OR Physical Therapist (PT) license.
• Demonstrated clinical expertise, leadership ability, and working knowledge of community healthcare resources.

PREFERRED
• Current Basic Life Support (BLS) certification.
• Direct experience operating under PDGM, HHVBP, and OASIS reporting frameworks.
• Track record of multi-disciplinary collaboration with acute-care, primary care, and post-acute partners.
• Familiarity with leading home health EHR platforms and value-based care analytics.

Your Total Rewards

COMPENSATION
• Base salary range of $96,266 - $179,046, with placement based on experience, scope, and credentials.
• Performance- and merit-based salary growth tied to agency KPIs and system benchmarks.

HEALTH & WELLNESS
• Medical, Dental, Vision, Life, and Disability Insurance - effective Day One, no waiting period.
• Whole-Person Well-Being resources, dedicated Mental Health support, and an Employee Assistance Program.
• Pet benefits and award-winning wellness programming (system-wide wellness participation grew 40% in 2024, per Becker's 2026).

FINANCIAL SECURITY
• 403(b) retirement plan with employer contributions and a tenure-weighted match formula that compounds your commitment.
• Flexible Spending Accounts, group life and disability coverage, and access to a financial-wellness platform.

GROWTH & DEVELOPMENT
• Career development pathways, tuition assistance, and admission to a dedicated on-campus Leadership Institute.
• System-wide belonging councils, leadership advisory forums, and a 'Committed Coach' development framework credited with a 25% reduction in voluntary turnover and 1,800+ internal promotions.

WORK-LIFE BALANCE
• Paid Time Off available from Day One.
• Four weeks of 100% paid parental leave.
• Day-shift, Monday-Friday operating rhythm - engineered against the schedule volatility that drives home health leader attrition.

About the Organization

Our client is one of the nation's largest faith-based, not-for-profit health systems - operating more than 50 hospital campuses and over 1,200 care sites across nine states, with 95,000+ team members serving 4.7 million+ patients each year. The full continuum of integrated care spans acute hospitals, urgent care, primary care, outpatient facilities, skilled nursing, hospice, and home health.

The mission is whole-person care: body, mind, and spirit. The culture is anchored by four service standards - Keep Me Safe, Love Me, Make It Easy, Own It - that show up in patient encounters and in how leaders treat their teams. Recent recognition includes Glassdoor Best Place to Work 2025, Fortune Best Workplaces in Health Care 2025, Becker's 150 Top Places to Work in Healthcare 2024, Forbes America's Best Employer by State, Newsweek America's Greatest Workplaces for Diversity 2024, and the #1 ranking on Gartner's Healthcare Supply Chain Top 25 (2024).

On the innovation side: founding member of the Coalition for Health AI (CHAI), operator of a state-of-the-art Innovation Tower, and the first health system in the nation to earn the Leapfrog Group's Emerald Award for quality and safety. For a home health leader, that translates into real investment in the technology, analytics, and clinical infrastructure required to run a modern value-based agency.

The Location • Altamonte Springs & Seminole County

Altamonte Springs sits in the heart of Seminole County - a settled, family-oriented community ten miles north of downtown Orlando and within an easy I-4 commute to the wider Central Florida market. It is one of the few major-metro healthcare leadership markets in the country that pairs a sub-national-median cost of living with no state income tax, top-rated public schools (Seminole County is one of Florida's most consistently top-ranked districts), and year-round outdoor lifestyle: Wekiwa Springs State Park, Cranes Roost Park, Lake Lily, and an hour's drive to both the Atlantic and Gulf coasts. Orlando International Airport is 30 minutes south and connects you to most of the country in under three hours.

READY FOR A CONFIDENTIAL CONVERSATION?

This search is being conducted on a confidential basis. Qualified candidates are invited to reach out to their recruiting representative directly to request the full opportunity briefing.

Client identity, full benefits documentation, and application details will be shared with vetted candidates under confidentiality.

Our client is an Equal Opportunity Employer and complies with all applicable federal, state, and local anti-discrimination laws, regulations, and ordinances. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic.

Click here to apply online