Director of Nursing
$130k - $160kTwelfth One, LLC dba Aspen Infusion
Job Description
Job Description
Lead Clinical Excellence. Drive Operational Performance. Share the Future of Infusion Care.
Aspen Infusion is seeking a dynamic, strategic, and experienced Director of Nursing to join our leadership team. This executive leadership role is responsible for providing strategic and operational oversight across all nursing operations, ensuring excellence in home and alternate-site infusion services. Why Join Aspen Infusion?Aspen Infusion is redefining infusion therapy through innovation, clinical excellence, and patient-centered care. As Director of Nursing, you will have the opportunity to shape the future of our clinical operations, influence organizational strategy, lead a talented team, and make a meaningful impact on the patients and communities we serve. About Your Role:
Aspen Infusion is hiring a strategic and dynamic Director of Nursing (DON) to join our senior leadership team. The DON will provide executive-level direction for all nursing operations, overseeing multi-site service delivery and cross-functional department management. This role is responsible for managing the full operational lifecycle of home and alternate-site infusion services, including workforce planning, multi-tier staff management, financial oversight, regulatory compliance, quality outcomes, and driving strategic growth initiatives.
As a key member of the senior leadership team, the DON will lead organizational performance and foster a high-accountability, results-driven nursing culture. The ideal candidate will bring a strong combination of clinical expertise and business acumen, with the ability to effectively lead supervisors, field nurses, clinical coordinators, and frontline staff across multiple reporting layers.
Schedule: Full-Time, Monday - FridayCompensation: $130,000 - $160,000 annually, based on experience. Key Responsibilities: Operational Leadership & Multi-Tier Management
- Design, implement, and continuously optimize a multi-tier management structure encompassing clinical supervisors, field nurses, and clinical support staff; establish clear lines of authority, accountability, and escalation.
- Develop and enforce operational standards, workflows, and standard operating procedures (SOPs) across all service lines and patient care settings.
- Oversee daily nursing operations, including clinical triage, staff assignments, patient management, and care coordination; ensure operational throughput metrics are consistently achieved.
- Conduct regular operational reviews (weekly, monthly, quarterly) with supervisory staff; use data-driven metrics to identify performance gaps and drive corrective actions across all management levels.
- Lead capacity planning, staffing models, and scheduling frameworks to ensure adequate clinical coverage 24/7 while managing labor cost efficiency.
- Drive operational scalability initiatives to support organizational growth, service line expansion, and new market entry.
Workforce Development & Multi-Level Supervision
- Participate in recruiting, hiring, onboarding, mentoring, and developing a multi-tiered nursing team, including supervisory, coordinator, and frontline clinical roles; build a leadership bench through targeted development programs.
- Establish individual performance expectations and objective KPIs for all direct and indirect reports; conduct structured performance appraisals and implement performance improvement plans as needed.
- Coach and develop supervisory-level staff to build their management capabilities, decision-making authority, and accountability; delegate operational authority appropriately across management tiers.
- Manage disciplinary processes through all stages, including counseling, formal corrective action, and termination recommendations, in accordance with HR policy and applicable law.
- Foster a culture of continuous learning through in-services, cross-training, competency assessments, and career-pathing programs.
Financial Accountability & Budget Management
- Develop, manage, and own the nursing department operating budget; monitor budget-to-actual performance monthly and present variance analyses with corrective plans to the CEO & CFO.
- Analyze clinical labor utilization, overtime, agency usage, and supply costs; implement cost-control strategies that maintain clinical quality while optimizing financial performance.
- Collaborate with the billing and revenue cycle department to ensure accurate, complete, and timely clinical documentation that supports proper reimbursement; monitor denial trends and drive resolution.
- Provide operational input for contract negotiations, payor relations, and service-line pricing in coordination with executive leadership.
Quality, Compliance & Regulatory Oversight
- Collaborate with Compliance Leadership to establish, monitor, and report on a comprehensive clinical quality program, including outcome metrics, patient safety indicators, incident reporting, and QAPI (Quality Assurance and Performance Improvement) activities.
- Ensure full compliance with all federal, state, and local regulatory requirements, including Arizona State Board of Nursing regulations, CMS Conditions of Participation, ACHC accreditation standards, and OSHA requirements.
- Take a lead role in all internal audits, mock surveys, and regulatory inspections; serve as the primary clinical point of contact for accreditation bodies.
- Develop and maintain clinical policies and procedures aligned with evidence-based practice, regulatory requirements, and organizational standards; review and update annually or as regulations change.
- Manage clinical risk events, adverse event investigations, root-cause analyses, and implementation of corrective and preventive actions (CAPA).
Strategic Planning & Organizational Leadership
- Serve as a member of the senior leadership team; participate in strategic planning, organizational development, and operational decision-making at the executive level.
- Identify, evaluate, and operationalize opportunities for service line growth, patient census expansion, and clinical program development.
- Build and maintain effective cross-functional relationships with pharmacy, billing, intake, and business development teams to ensure seamless patient care continuity.
- Represent the organization in referral partner relationships, physician liaison activities, and community health networks to strengthen market presence.
- Stay abreast of industry trends, regulatory changes, Arizona market dynamics, and emerging clinical best practices; present relevant findings and recommendations to executive leadership.
- Perform other duties as assigned by executive management.
- Active Arizona Registered Nurse (RN) license in good standing.
- BSN required; MSN, MBA, or other advanced degree strongly preferred.
- Current BLS certification.
- Valid driver's license and proof of automobile insurance.
- Required health screenings, including TB screening.
- 8+ years of progressive nursing experience.
- 4+ years of leadership experience managing multi-level clinical teams.
- 3+ years of experience in home infusion, specialty pharmacy, home health, ambulatory infusion, or related healthcare settings.
- Demonstrated experience managing departmental budgets and financial performance.
- Experience with ACHC accreditation and regulatory compliance programs preferred.
- Background in multi-site, high-volume, or rapidly growing clinical operations.
- Proven success leading organizational change, operational improvement, and workforce development initiatives.
- Ability to build and lead complex, multi-tier organizational structures with strong accountability systems.
- Expertise in workforce planning, staffing strategy, throughput optimization, and capacity management.
- Strong financial acumen and experience aligning clinical operations with organizational objectives.
- Advanced analytical skills with the ability to interpret and act on operational, financial, and clinical performance metrics.
- Knowledge of Medicare, Medicaid, and commercial payer systems relevant to infusion services.
- Proficiency with EHR systems, clinical technology platforms, and Microsoft Office applications.
- Exceptional communication, presentation, and executive leadership skills.
- Ability to influence across departments, drive alignment, and lead through change.
- Strong clinical judgment and demonstrated experience managing complex clinical situations and organizational risk.
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