Director of Nursing

REGIONAL DIRECTOR OF NURSING (RDON) Locations: CO, TX, NM, TN, SC, & GA REGIONAL DIRECTOR OF NURSING (RDON) Locations: CO, TX, NM, TN, SC, & GA Reports to: Vice President of Clinical Services About Us: Trusted Ally Home Care (TAHC) is a growing multi-state home care agency that specializes in providing nursing and home health aide services to nuclear-exposed employees in the comfort of their homes. TAHC has been serving families and loved ones since 2010. After witnessing the impact that quality home care services brought to her great-grandfather's life, our co-founder Candace Honeywell, was determined to bring the same level of care to everyone we serve. Together, with co-founder Alexander Page, they are committed to driving positive change in home health care. Core Values Passion to ServeBe Your BestBring Your BestDo the Right ThingDo What it Takes Role Overview: The Regional Director of Nursing (RDON) serves as the clinical and operational administrator responsible for oversight of all Trusted Ally Home Care clinical operations across all states served by the organization. This role provides strategic leadership, regulatory oversight, operational accountability, and direct clinical support to ensure the delivery of safe, compliant, high-quality, and patient-centered care in accordance with federal regulations, state-specific home care regulations, DOL-EEOICPA requirements, ACHC accreditation standards, and organizational policies. The RDON is accountable for the administration, supervision, coordination, and continuous improvement of clinical services organization-wide, including ownership of the agency’s Quality Assurance and Performance Improvement (QAPI) Program, survey readiness activities, risk mitigation processes, and regulatory compliance initiatives. This position serves as a leader, mentor, administrator, and operational decision-maker responsible for maintaining clinical excellence, accreditation readiness, interdisciplinary collaboration, patient satisfaction, employee engagement, and organizational alignment across all states of operation. 5 Major Job Functions Lead, Manage, Drive Accountability & Administrative OversightClinical Quality, QAPI, and Compliance AssurancePatient and Employee SatisfactionClinical Patient Acquisition and Operational Growth SupportInterdepartmental Collaboration, Regulatory Readiness, and Organizational Leadership Key Responsibilities And Duties Lead, Manage, Drive Accountability Lead and manage all clinical operations and clinical field staff across all states served by Trusted Ally Home Care by establishing clear expectations, driving accountability, ensuring operational consistency, and maintaining compliance with organizational standards, state regulations, federal regulations, and accreditation requirements. Serve as the designated clinical administrator responsible for oversight of clinical service delivery, staff competency, operational workflows, patient care standards, and regulatory adherence throughout all assigned markets. Provide direct leadership, coaching, mentoring, and performance management to clinical team members while fostering a culture rooted in accountability, collaboration, professionalism, continuous improvement, and patient-centered care. Conduct regular 1:1 meetings, leadership touchpoints, field ride-rounding, competency evaluations, and real-time clinical coaching to ensure staff performance aligns with Trusted Ally’s standards of care, EOS leadership principles, and operational expectations. Oversee staffing models, workforce planning, case assignment logic, scheduling collaboration, and regional clinical capacity to ensure patient acuity, care needs, continuity of care, and staff competency are appropriately aligned. Monitor staff productivity, utilization performance, timeliness of documentation, completion of required assessments, supervisory visit requirements, and adherence to organizational workflows including 485 updates, Letters of Medical Necessity (LOMN), reauthorization cycles, emergent increase requests, incident reporting, and escalation procedures. Support recruitment, hiring, onboarding, orientation, and retention efforts in collaboration with Human Resources and executive leadership while ensuring clinicians receive ongoing education, competency validation, and regulatory training required to maintain safe and compliant patient care practices. Maintain administrative oversight of clinical operations, delegation practices, supervision requirements, competency validation, and workflow execution to ensure safe, efficient, compliant, and high-quality care delivery across all agency locations. Clinical Quality and Compliance Assurance Own, lead, and continuously improve the organization’s Quality Assurance and Performance Improvement (QAPI) Program across all states and service lines in accordance with ACHC accreditation standards, federal regulations, state licensing requirements, Department of Labor program guidance, and organizational policies and procedures. Ensure the organization consistently delivers compliant, high -quality care by monitoring, enforcing, and enhancing clinical standards, documentation practices, operational workflows, patient safety initiatives, and regulatory compliance expectations throughout all agency operations. Conduct and oversee routine clinical audits, quality reviews, documentation monitoring, and performance evaluations focused on timeliness of documentation, visit completion accuracy, care plan appropriateness, skilled need justification, supervisory visit compliance, high-risk domain identification, infection prevention practices, patient safety concerns, and adherence to 485, LOMN, reauthorization, and regulatory workflows. Establish and monitor organization-wide quality indicators, patient outcome trends, incident reporting patterns, infection prevention initiatives, grievance trends, patient satisfaction metrics, utilization performance, audit findings, and documentation compliance measures. Ensure findings are analyzed, trended, communicated to leadership, and addressed through measurable performance improvement initiatives and corrective action planning. Serve as the organizational leader responsible for accreditation readiness, state survey preparedness, payer audits, regulatory investigations, and compliance response activities, including oversight of Plans of Correction (POCs), deficiency responses, audit remediation efforts, policy implementation, and sustained compliance monitoring across all operational states. Partner closely with Quality Assurance, Training, Operations, and executive leadership teams to identify opportunities for improvement, mitigate organizational risk, strengthen regulatory compliance, and ensure ongoing readiness for state surveys, ACHC accreditation reviews, and internal compliance audits. Maintain strong working knowledge of all applicable federal, state, accreditation, and payer regulations impacting home health operations and ensure organizational policies, procedures, workflows, and clinical practices remain aligned with evolving regulatory standards and industry best practices. Patient and Employee Satisfaction Promote exceptional patient and employee satisfaction by serving as a visible, supportive, and engaged clinical leader who prioritizes compassionate care delivery, staff support, communication excellence, service recovery, and patient-centered decision-making throughout the organization. Support field operations through hands-on clinical involvement when necessary, including high -acuity visits, complex patient situations, care coordination support, and participation in the on-call rotation to ensure continuity of care and timely response to patient needs. Address patient complaints, grievances, concerns, and service gaps promptly and professionally by conducting investigations, collaborating with interdisciplinary teams, engaging directly with patients and families, and implementing service recovery plans that preserve trust, satisfaction, and continuity of care. Foster employee engagement and retention by providing consistent communication, coaching, mentorship, recognition, operational support, and clinical guidance while proactively removing barriers that impact staff performance, morale, or ability to deliver safe and effective care. Promote a culture of professionalism, empathy, accountability, emotional intelligence, and collaborative problem-solving when navigating difficult patient situations, behavioral concerns, family dynamics, scheduling challenges, staffing shortages, or high-acuity care needs. Monitor patient satisfaction trends, employee feedback, retention indicators, and operational concerns to identify opportunities for improvement and implement strategies that strengthen both the patient and employee experience across all markets. Clinical Patient Acquisition and Operational Growth Support Support organizational growth and patient acquisition efforts by collaborating closely with Business Development, Intake & Authorization, Scheduling, and executive leadership teams to ensure timely onboarding, efficient care transitions, operational readiness, and high-quality clinical service delivery across all states. Perform and oversee comprehensive clinical assessments that accurately identify skilled nursing needs, psychosocial risks, safety concerns, caregiver limitations, high -risk domains, and opportunities for appropriate service utilization under the Department of Labor program. Ensure Start of Care (SOC) assessments, care plans, clinical narratives, Letters of Medical Necessity (LOMN), reauthorization requests, and ongoing documentation appropriately support covered conditions, medical necessity, skilled need justification, patient safety, and maximum appropriate authorized service levels. Collaborate with Business Development teams to support regional growth initiatives, strengthen referral relationships, provide clinical insight during onboarding discussions, and maintain Trusted Ally’s reputation for responsive service, clinical excellence, operational consistency, and patient-centered care. Partner with Scheduling and operational leaders to ensure staffing capacity, competency alignment, continuity of care, and operational feasibility are considered throughout the onboarding and ongoing care management process. Support utilization optimization efforts by ensuring clinical recommendations, reassessments, and ongoing care planning appropriately reflect patient condition changes, skilled needs, safety risks, and opportunities for continued authorized services. Interdepartmental Collaboration, Partnership, and Team Building Strengthen organizational alignment and operational effectiveness by serving as a senior clinical leader and administrative partner across all departments, ensuring regulatory readiness, quality improvement integration, operational consistency, interdisciplinary collaboration, and patient-centered decision-making throughout the organization. Collaborate closely with Scheduling, Business Development, Intake & Authorization, Human Resources, Quality Assurance, Training, Finance, and executive leadership teams to ensure clinical operations, workflows, communication processes, staffing models, and patient care initiatives remain coordinated, efficient, compliant, and operationally aligned. Participate actively in leadership meetings, EOS Level 10 meetings, IDS discussions, Rocks planning sessions, Governing Body meetings, quality reviews, and strategic planning initiatives while providing insight into clinical operations, patient safety trends, regulatory risks, staffing challenges, utilization performance, survey readiness activities, and organizational improvement opportunities. Present and communicate quality metrics, QAPI findings, patient outcome trends, audit results, risk mitigation strategies, corrective action plans, patient satisfaction data, and operational performance indicators to leadership and governing bodies as required. Support organizational decision -making by providing clinical expertise related to operational workflows, staffing challenges, billing concerns, denied authorizations, utilization opportunities, patient escalations, incident investigations, compliance risks, and performance improvement initiatives. Foster strong collaborative relationships with physicians, referral sources, community partners, patients, caregivers, and interdisciplinary team members to promote continuity of care, operational excellence, organizational trust, and high - quality patient outcomes across all markets. Compliance And Regulatory Requirements Adhere to and enforce all applicable federal, state, accreditation, payer, and organizational regulations, standards, policies, and procedures related to home health operations and clinical service delivery.Maintain oversight of organizational survey readiness, accreditation preparedness, quality assurance activities, patient safety initiatives, and regulatory compliance efforts across all licensed states.Ensure implementation, monitoring, evaluation, and continuous improvement of the organization’s Quality Assurance and Performance Improvement (QAPI) Program.Lead corrective action planning, audit response activities, policy implementation, incident investigations, and compliance remediation efforts related to identified deficiencies, complaints, survey findings, or regulatory concerns.Ensure organizational compliance with ACHC accreditation standards, Department of Labor program requirements, and state-specific home care regulations impacting clinical operations and patient care delivery. Education And Experience Qualifications Bachelor of Science in Nursing (BSN): Master’s degree in nursing or healthcare administration preferred.Licensure: Must hold a valid and active Registered Nurse (RN) license in the State of practice.Experience: Minimum of 3-4 years of nursing experience required; at least 4 years of experience in home health, nursing leadership, or a related field strongly preferred.Prior experience in a leadership or management role is advantageous.Strong knowledge of healthcare regulations and standards concerning home health services with the Department of Labor a plusCertifications: Current Basic Life Support (BLS) certificationStrong clinical assessment, critical thinking, and problem-solving skillsExcellent communication and interpersonal skills to interact effectively with patients, families, nursing leadership, and healthcare team members.Ability to adapt to a flexible work schedule and to be on-call rotationProficiency in using electronic health records (EHRs) and Microsoft Office Suite.Valid driver’s license and/or access to a reliable vehicle or transportation for State travel. based on geographical location of clients.Background check and drug screening required. Working Environment This position may require working in clients' homes within varying environments—some may be multi-story homes, while others might have pets or specific housekeeping conditions to adapt to.Flexibility in scheduling may be required, including evenings, weekends, and holidays based on client needs.Physical tasks involved may include assisting with mobility, lifting clients, and performing basic household chores. Work Environment And Physical Requirements The work environment and physical demands described here are representative of those required by an employee to perform the essential functions of this job with or without reasonable accommodations. Physical Elements Sufficient clarity of speech and hearing or other communication capabilities, with or without reasonable accommodation, to enable the employee to communicate effectively.Sufficient vision or other powers of observation, with or without reasonable accommodation, to enable the employee to review a wide variety of materials in electronic or hard copy form.Sufficient manual dexterity, with or without reasonable accommodation, to enable the employee to operate a personal computer, telephone, and other related equipment.Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to enable the employee to safely lift, move, or maneuver whatever maybe necessary to successfully perform the duties of their position and promote patient safety.Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to enable the employee to efficiently function in a general office environment; andSufficient personal mobility and physical reflexes, with or without reasonable accommodation, to enable the employee to efficiently function in a general office environment, with frequent travel to a variety of field sites. Salary Range $105,000 - $130,000 Based on Experience