Adaptive Home Health logo

Director of Clinical Services (RN) Home Health

Posted 19 days ago

OfficeRichardsonEX90k - 125k USD

We are fixing US healthcare by building an AI-native physical care platform, starting with home health.

Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.

Compensation:

$ 90K-$125K/Salary

The Opportunity

We are looking for a Director of Clinical Services who can lead clinical execution with high standards and high intensity.

This is not a passive “clinical support” role. You will own day-to-day clinical coordination and quality, ensuring that:

  • Patients receive the right care at the right time

  • Clinicians are supported, coached, and held to clear expectations

  • Changes in condition are identified early, escalated appropriately, and documented thoroughly

  • Care plans, orders, and clinical documentation are accurate, timely, and compliant

You will partner closely with operations and scheduling to keep care delivery on track, and you will be a key leader in how we scale safely.

What You’ll Do

1. Own clinical execution for your branch

  • Monitor clinical status across active patients and ensure timely follow-up when a patient’s condition changes

  • Coordinate next steps after clinical events (new symptoms, missed visits, safety concerns, hospitalizations, discharges)

  • Ensure care plans are clear and actionable for field clinicians, with appropriate coordination of orders and plan updates

  • Maintain high standards for clinical documentation quality and timeliness

2. Lead and develop field clinicians

  • Coach clinicians on clinical reasoning, visit planning, patient education, and documentation quality

  • Set and reinforce expectations for reliability, professionalism, and patient experience

  • Address performance issues quickly and fairly, including structured improvement plans when needed

  • Support onboarding and skill development to raise clinical consistency across the team

3. Drive quality, safety, and compliance through systems

  • Identify recurring clinical and documentation issues and implement process improvements

  • Support quality assurance activities by ensuring clinical work meets standards before downstream review

4. Be an escalation leader

  • Serve as a calm, decisive escalation point for clinical questions and patient risk

  • Know when to intervene directly and when to empower field staff with guidance

  • Coordinate with leadership on high-risk cases, incidents, and sensitive patient situations

Who You Are

A high-accountability clinical leader who loves building systems and developing people. You bring urgency, clarity, and standards to complex clinical operations.

Must-haves

  • Ability to coach, mentor, and train clinical staff

  • Strong clinical judgment and a structured approach to prioritization and escalation

  • A strong sense of personal accountability. You must take ownership of clinical outcomes through your clinical staff.

  • Ability to communicate clearly across clinical and operational teams

How you work

  • Owner mindset: You prefer accountability over recommendations

  • Bias to action: You solve problems quickly while staying safe and compliant

  • Systems thinker: You standardize and improve workflows instead of relying on heroics

  • High standards: You hold the line on quality, documentation, and patient experience

  • Low ego: You are willing to do hands-on work and teach others to do it well

Nice-to-haves

  • Experience building or improving clinical workflows at scale

  • Experience partnering closely with operations teams to prevent service failures

Experience

  • Minimum of one (1) year of recent clinical experience as a Registered Nurse

  • At least one (1) year of experience in a Home Health setting is required

  • Previous leadership or supervisory experience in home health or another clinical care environment is strongly preferred

  • Thorough understanding of home health operations, including coordination of care, compliance with Medicare Conditions of Participation (CoPs), and management of OASIS documentation

  • Proficiency with Homecare Homebase (EHRs) and experience managing patient documentation and workflows in Homecare Homebase

  • Demonstrated ability to lead interdisciplinary teams, oversee patient care plans, and support clinical staff performance

  • Experience with utilization review, quality assurance, and performance improvement in a home health context is a plus

Working Conditions

  • Primarily office-based with occasional field responsibilities

  • May require local travel and patient home visits as needed

  • Must be able to manage multiple tasks and work in a fast-paced environment

  • Occasional exposure to varied home environments and weather conditions

  • Must be able to lift up to 50 lbs and support patients as needed

Benefits:

  • Health insurance

  • Dental

  • Paid time off

  • Vision insurance

Work Location: Onsite

  • Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Job details
Workplace
Office
Location
Richardson
Experience
EX
Salary
90k - 125k USD
per year
Adaptive Home Health logo
Adaptive Home Health
View company page

Helping Texans Adapt to Life’s Challenges One Visit at A Time Adaptive is employee-owned and led by a team of veterans, nurses and Texans. From hospital to recovery, our team helps doctors and their patients Adapt to any challenge – all from the comfort of home. Book appointment Delivering home-based excellent compassionate care to our […]

Key team members

Finis Johnson

Finis Johnson

Laura Eells

Laura Eells

CHRISTOPHER REESE

CHRISTOPHER REESE

Cat Stuyvesant

Cat Stuyvesant

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