Director, Home Health Clinical Excellence & Regulatory Compliance

What You Will Do

• Leads the design, implementation, and continuous improvement of clinical programs to ensure best-in-class patient care.
• Champions innovation in clinical care delivery, including the integration of evidence-based practices and emerging technologies.
• Collaborates with the Education and Operations teams to develop and maintain clinical competencies across the workforce.
• Promotes inter-professional collaboration and workforce optimization strategies, including paraprofessional care models.
• Serves as the clinical lead for specialty certifications (e.g., Age-Friendly Care/4Ms, Heart Failure, Fall Prevention, Hospital at Home).
• Acts as the Subject Matter Expert (SME) in defensible documentation and EMR logic (HCHB and R2).
• Develops and maintain clear Standard Operating Procedures (SOPs) for clinical documentation and patient care protocols.
• Provides training and support to ensure accurate, timely, and compliant documentation practices.
• Serves as a regulatory expert on New York State and Federal home health regulations to ensure agency-wide compliance; monitor regulatory changes and support required operational changes.
• Leads internal Root Cause Analyses and implement Corrective Action Plans (CAPs) for regulatory and clinical issues.
• Serves as SME for routine government audits including but not limited to Additional Documentation Review (ADR) audits providing support to branch directors to ensure timely and accurate audit response
• Collaborate with the corporate Quality & Compliance teams on policy and procedure development and updates.
• Partners with Enterprise Risk, Legal, and Quality on regulatory risk assessment and mitigation efforts, including home health litigation risks.
• Coordinates with the Quality team to support and participate in quarterly QAPI meetings.
• Analyzes clinical trends and outcomes to identify opportunities for improvement and risk mitigation.
• Collaborates with the Director of Outcomes & Complex Care Management to align clinical initiatives with organizational goals.
• Partners with the Research department to integrate evidence-based practices into clinical programs.
• Works with the Intake team to support clinical program alignment and ensure timely admissions.
• Collaborates with the Revenue Cycle Department (RCD) to analyze and address denial trends.
• Engages with the Clinical Advisory Board (CAB) to align clinical strategies with community needs.
• Represents the agency at industry conferences and events to stay current on home health trends and innovations.
• Drives execution of strategic initiatives and manage multiple clinical projects simultaneously.
• Participates in special projects and performs other duties as assigned.

Education:

• Bachelor's Degree in Health Care, Nursing, Physical Therapy, Occupational Therapy, Public Health, or related health care field. required
• Master's Degree In Health Care, Nursing, Public Health, Education, Business Administration or related field preferred

Work Experience:

• Minimum of seven years of progressive experience in quality improvement and measurement, health information management, strategic planning, performance improvement, and/or research required
• Management experience required
• Experience in home health/home care required
• Demonstrated ability to lead project teams, develop project plans with corporate wide impact, and work in team groups required
• Excellent problem-solving skills, innovation, and strategy required
• Strong oral/written communication, presentation, and organizational skills required
• Proficiency in training and staff development preferred
• Proficiency with personal computers, including Windows, Excel, Word and Power Point required