Director of Nursing

Job Description

Job Description

First Call Wellness LLC is a veteran-owned New Jersey healthcare service company dedicated to providing compassionate, patient-centered care. We are seeking an experienced New Jersey Registered Nurse to serve as our Director of Nursing (DON) in a part-time, flexible, field-based clinical leadership role with the potential to grow into a full-time position.

This position allows you to focus on what you do best: nursing. The DON will travel to patients' homes throughout Central and South New Jersey to complete required clinical visits and will report to the First Call Wellness office in Kearny, New Jersey approximately once per month. Business and administrative operations are handled by First Call Wellness, so you can concentrate entirely on patient care and clinical oversight.

Position Highlights

• W-2, part-time position with potential to grow into full-time
• $50.00 per hour, paid every two weeks
• 5% Net Profit Participation in addition to hourly pay, beginning on Day 1 and applying from the Company's first private-pay patient
• Paid travel time between patient visits
• Mileage reimbursement at $0.76 per mile, plus reimbursement for required tolls and parking
• Professional malpractice insurance paid by First Call Wellness
• Company-provided work phone and email
• Flexible schedule, primarily during normal business hours
• Manageable initial workload of approximately 20–30 hours per month during the first three months
• Entirely electronic clinical documentation

Core Responsibilities

• Conduct in-home initial patient assessments, typically lasting about one hour, covering medical and medication history, mobility, functional needs, activities of daily living, fall risk, safety concerns, and emergency-exit considerations
• Develop individualized Plans of Care and update them as patient needs change
• Participate in start-of-service visits with assigned nursing staff and establish clinical expectations for LPNs and other nursing personnel
• Provide clinical supervision, direction, and recommendations to supervised nursing staff
• Complete required 30-day patient telephone check-ins and 60-day in-person reassessments
• Review clinical documentation completed by supervised staff and complete required RN review and sign-off
• Identify changes in condition and patient-safety concerns and provide appropriate clinical follow-up
• Conduct clinical assessments following applicable breaks in care, such as hospitalization, emergency room visits, illness, rehabilitation stays, vacation, temporary relocation, or a patient-requested pause in services
• Maintain accurate and timely electronic clinical documentation
• Exercise professional nursing judgment within the scope of an active New Jersey RN license

Ongoing Patient Oversight

The DON is the primary clinical nursing leader responsible for the patient census. For each patient, this includes the initial assessment, Plan of Care development and updates, 30-day check-ins, 60-day reassessments, review of changes in condition, clinical direction to assigned staff, documentation and RN sign-off, and break-in-care assessments when required. As the patient census grows, with approximately two to four new patients anticipated per month, these clinical responsibilities continue for all active patients.

Emergency Clinical Availability

The DON will remain available by phone for urgent clinical matters on an emergency, as-needed basis during operating hours of 8:00 AM to 8:00 PM. On-call responsibility is not 24/7 and does not require overnight availability. During operating hours, the DON will respond to clinical questions involving active patients, provide immediate nursing direction when needed, determine when an in-person assessment is necessary, coordinate appropriate clinical follow-up, and document emergency clinical involvement.

Work Location and Travel

This is a traveling, field-based position serving patients in their homes throughout Central and South New Jersey. In-person visits include initial assessments, start-of-service visits, 60-day reassessments, break-in-care assessments, and emergency clinical visits when required. The DON will also report to the Kearny, New Jersey office approximately once per month for meetings, clinical review, training, or documentation review. First Call Wellness will make reasonable efforts to coordinate patient visits efficiently by location and during normal business hours.

Focused on Nursing, Not Administration

This is a clinical role. The Director of Nursing is not responsible for patient intake, referrals, payer or insurance coordination, patient acquisition, sales, marketing, business development, accreditation or Medicaid/NJ FamilyCare enrollment administration, payer contracting, billing, claims submission, payment collection, management of administrative or electronic systems, general office administration, or day-to-day business operations. These functions are handled by First Call Wellness leadership and administrative, intake, and billing personnel.

Clinical Documentation and NPI

The DON will complete the clinical documentation required for patients under their professional responsibility. The DON's NPI will be used only in connection with appropriate clinical services, assessments, Plans of Care, supervision, documentation, review, and professional sign-off completed by the DON. The DON will not perform or manage billing.

Compensation Details

• $50.00 per hour, with payroll every two weeks
• 5% Net Profit Participation, based on actual Company net profit after applicable operating expenses
• Paid required work-related travel time
• Mileage reimbursement at $0.76 per mile
• Reimbursement for required tolls and parking
• Professional malpractice insurance paid by First Call Wellness

The Net Profit Participation does not make the DON an owner of First Call Wellness and does not make the DON responsible for company debts, financial losses, operating expenses, or capital contributions.

Required Qualifications

• Active and unrestricted New Jersey Registered Nurse (RN) license
• Graduate of an accredited nursing program
• Professional nursing experience
• Clinical leadership, supervisory, or nursing-management experience
• Experience conducting patient assessments and developing Plans of Care
• Strong clinical documentation skills
• Strong professional nursing judgment and knowledge of patient safety and nursing standards
• Strong communication and organizational skills
• Ability to supervise LPNs and other applicable nursing personnel
• Reliable transportation and the ability to travel to patients' homes throughout Central and South New Jersey

If you are a New Jersey RN who wants to lead clinical care with flexibility, administrative support, and a stake in the company's success, this role offers the opportunity to focus on patients while helping shape a growing, veteran-owned healthcare organization.