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Director of Nursing

13 hours ago

West Palm Beach, Florida, United States Help at Home Full time

Overview
Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 50,000 compassionate caregivers across 12 states. We're looking for people who care about others, who are willing to listen, lean in and make impactful change. Each role at Help at Home can have a positive impact in supporting our caregivers and clients. If you are someone who leads with passion and integrity and are looking to join a rapidly growing, industry leading team, Help at Home may be a good fit for you.
The Director of Nursing (DON) is responsible for all nursing services, supervision of home health aides, and ensuring compliance with AHCA licensure standards. This role leads and oversees all clinical and nursing operations for the Florida home health program, providing strategic and operational oversight across multiple regions to ensure consistent, high-quality, compliant, and person-centered care. The DON delivers clinical leadership, ensures regulatory adherence, and supports scalable nursing oversight and overall operational performance

Our Benefits

  • Comprehensive medical, dental, and vision coverage
  • 401(k) retirement plan
  • Paid time off and holidays
  • Employee assistance programs and wellness initiatives
  • Flexible options to support a balanced life

Responsibilities
What You'll Do:

Regulatory Compliance & Clinical Leadership

  • Provide oversight of clinical operations and nursing care delivery across the Florida home health program
  • Ensure compliance with federal, state, and local regulations, including Medicare Conditions of Participation where applicable, with responsibility for documentation accuracy, OASIS oversight, and interdisciplinary coordination

EMR & Documentation

  • Serve as the clinical owner for the home health EMR platform (e.g., WellSky), ensuring accurate clinician documentation, timely submissions, error resolution, and optimization of workflows, alerts, forms, and quality assurance pathways.
  • Utilize EMR analytics and dashboards to monitor visit completion, identify compliance and clinical risk trends, drive QAPI initiatives, and ensure timely documentation.

Quality & QAPI

  • Develop and implement clinical policies and procedures including documentation, infection control practices, and care standards.
  • Lead and maintain the Quality Assurance and Performance Improvement (QAPI) program in accordance with AHCA and Medicare standards, including infection control monitoring, clinical record review, adverse event analysis, unannounced supervisory visit compliance, and quarterly program reporting.

Staff Management & Multi-Site Coverage

  • Manage and support clinical teams across multiple regions, ensuring effective delegation, frequent field presence, consistent supervisory practices, and scalable staffing models.
  • Evaluate regional acuity, visit volume, and staffing patterns to allocate clinical resources appropriately and maintain compliance across all branches and offices.

Operational & Growth Partnership

  • Partner with intake, scheduling, business development, and operational leadership to support growth initiatives, including clinical onboarding, staffing readiness, coverage planning, and service expansion.
  • Participate in license expansion planning, branch or office compliance setup, and regulatory readiness reviews during geographic growth.

Qualifications
Florida HHA Director of Nursing Regulatory Responsibilities:

  • Ensure compliance with Florida Administrative Code 59A-8, including supervision of nursing services and home health aide competency validation.
  • Maintain client service records and ensure documentation is completed within required timeframes.
  • Conduct or delegate required home health aide supervisory visits in accordance with Florida regulations.
  • Ensure availability during agency operating hours as required by AHCA
  • Oversee timely Plan of Care Development, updates, and physician communication.
  • Ensure clinical staff meet personnel file, licensure, and in-service education requirements

Education And Experience

  • Bachelor's or Master's degree in Nursing, Nursing Administration, or related discipline.
  • Experience leading skilled home health services, audits, or accreditation preparation.
  • Minimum of two years of experience serving as a Director of Nursing or alternate DON in a licensed Florida Home Health Agency (strongly preferred).
  • Demonstrated experience managing skilled clinical services (RN, LPN, PT/OT/ST) and home health aide supervision within a Medicare-certified or private-duty home health agency.
  • Experience overseeing multi-branch or multi-region home health operations preferred

Required Skills/Abilities

  • Active and unrestricted Florida Registered Nurse (RN) license
  • Minimum three years of supervisory experience in home health, skilled nursing, hospice, or related clinical setting.
  • Strong working knowledge of Florida home health regulations, including Florida Administrative Code 59A-8, AHCA requirements, documentation standards, supervisory visit requirements, staffing rules, infection control protocols, and Medicare Conditions of Participation.
  • Proficiency in home health EMR systems such as WellSky, HCHB, Kinnser, or Axxess, with the ability to train clinicians, troubleshoot workflows, and ensure accurate, timely documentation.
  • Demonstrated ability to manage clinical operations across large geographic regions, including remote team leadership, regional travel, and consistent multi-site compliance oversight.
  • Strong leadership, communication, and organizational skills.
  • Proficient with Microsoft Office Suite.

Physical Requirements

  • Ability to move, transport, or position up to 50 pounds
  • Ability to move or traverse about in offices and/or client homes, including ascending and descending stairs.
  • Ability to communicate effectively and clearly with others to exchange information.

Travel Requirements

  • Regular travel on a daily or weekly basis required to meet Florida HHA supervisory visit standards, survey readiness needs, and clinical staff oversight across multiple locations.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.
Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.
Job Profile Summary
The Director of Nursing (DON) is responsible for all nursing services, supervision of home health aides, and ensuring compliance with AHCA licensure standards. This role leads and oversees all clinical and nursing operations for the Florida home health program, providing strategic and operational oversight across multiple regions to ensure consistent, high-quality, compliant, and person-centered care. The DON delivers clinical leadership, ensures regulatory adherence, and supports scalable nursing oversight and overall operational performance