Home Health Registered Nurse
Job Description Job Description Job Overview Home Health Administrators serve as a Field RN of Medicare-certified or state-licensed home health agencies, reporting to a board of directors, regional vice president, or owner depending on organizational structure. They oversee all clinical, administrative, financial, and regulatory functions of the agency, typically managing a team of clinical supervisors, coordinators, field nurses, and administrative staff. As a Home Health Field Nurse, you will be responsible for ensuring full compliance with Medicare Conditions of Participation (CoPs), managing agency accreditation processes, overseeing clinical quality metrics, and driving sustainable revenue growth through effective census management and referral source development. You will hold ultimate accountability for OASIS documentation quality, survey readiness, and staff competency. This role sits at the intersection of healthcare and business operations. Success is measured by agency star ratings, survey outcomes, staff retention rates, revenue targets, and patient satisfaction scores reported through the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS). Key Responsibilities Ensure full compliance with Medicare and Medicaid Conditions of Participation, state licensure requirements, and accreditation standards from organizations such as The Joint Commission or ACHC. Lead preparation for state and federal surveys, including mock surveys, policy reviews, and staff competency validation, achieving deficiency-free or low-deficiency survey outcomes. Manage and mentor a multidisciplinary team of clinical supervisors, case managers, field nurses, therapists, and home health aides, fostering a culture of accountability and staff retention. Develop and implement agency-wide policies and procedures that align with current regulatory requirements, evidence-based clinical guidelines, and organizational goals. Drive census growth through active referral source management, building relationships with hospital discharge planners, physicians, case managers, and skilled nursing facilities. Oversee OASIS assessment accuracy and coding compliance, working with clinical staff to optimize PDGM case mix and maintain appropriate reimbursement levels. Monitor financial performance including revenue cycle management, accounts receivable, payroll, and operating budget, reporting monthly variances to ownership or regional leadership. Manage agency accreditation cycles, coordinating document preparation, staff training, and site visit readiness to maintain continuous accreditation status. Analyze clinical quality metrics including hospitalization rates, emergency department utilization, and HHCAHPS patient satisfaction scores, implementing targeted improvement plans when benchmarks are not met. Coordinate with legal counsel, HR, and compliance officers on employee relations issues, HIPAA incidents, or reportable adverse events in accordance with applicable regulations. Recruit, onboard, and credential clinical and administrative staff, ensuring all personnel files meet state and federal documentation requirements prior to patient care commencement. Required Qualifications Education Registered Nurse (RN) licensure preferred; accepted in lieu of or in addition to academic degree in many states. Experience Minimum 3 to 5 years of progressively responsible experience in home health agency operations, with at least 2 years in a leadership or administrative role. Demonstrated experience managing a Medicare-certified home health agency, including direct experience with state or federal survey processes. Proven track record of census growth, quality improvement, and financial management within a home health setting. Technical Skills Comprehensive knowledge of Medicare Conditions of Participation (42 CFR Part 484) and PDGM reimbursement methodology. Proficiency with home health EMR platforms such as Homecare Homebase, WellSky, MatrixCare, or Axxess. Working knowledge of OASIS-E data collection requirements and their impact on quality reporting and reimbursement. Familiarity with HHCAHPS survey methodology and strategies to improve patient satisfaction scores. Core Competencies Strong leadership and team management skills, with the ability to hold staff accountable while maintaining morale and retention. Exceptional organizational skills and the ability to manage multiple regulatory deadlines, operational priorities, and clinical concerns simultaneously. Clear written and verbal communication skills for board reporting, staff education, and referral source development. Sound financial acumen with the ability to read and act on agency P&L statements, A/R aging reports, and budget variance analyses. Preferred Qualifications Current RN licensure with clinical home health experience as a case manager, supervisor, or director of clinical services. Accreditation experience with The Joint Commission (TJC) or Accreditation Commission for Health Care (ACHC), including successful survey completion. Experience operating a dual-certified (Medicare and Medicaid) agency or managing both skilled and private-duty service lines. Familiarity with Value-Based Purchasing (VBP) program requirements and strategies to maximize performance-based reimbursement. Background in territory or regional management with responsibility for multiple agency locations is a strong differentiator. Current licensure or certification as a Home Health Administrator in states requiring formal administrator credentialing. Essential Skills and Competencies for Home Health Administrators Technical Skills Medicare Conditions of Participation and regulatory compliance management PDGM reimbursement methodology and OASIS-E documentation Home health EMR systems (Homecare Homebase, WellSky, Axxess, MatrixCare) HHCAHPS survey analysis and quality improvement planning Revenue cycle management and accounts receivable oversight Accreditation standards (TJC, ACHC, CHAP) State licensure renewal and survey preparation Workforce credentialing and personnel file compliance Soft Skills Strategic leadership and organizational decision-making Staff coaching, mentorship, and performance management Clear and professional communication with clinical staff, referral partners, and regulatory agencies Problem-solving under regulatory and operational pressure Relationship-building with physicians, hospitals, and community referral sources Fiscal responsibility and budget stewardship Conflict resolution and employee relations management Adaptability to shifting regulatory requirements and market conditions \nCompany Description Assured Hearts Home Health is looking to hire great candidates for who has a heart for caring for others. Our clients/patients ranges in age from pediatrics to senior care. Great overtime opportunities with flexible scheduling. We are a company that is dedicated to the care of individuals with needs. The needs of our clients range from simple companion care to complex skilled nursing. Though we do not provide live-in services, we do provide 24 hour care to individuals. We would love to welcome you to our Care Team. Company Description Assured Hearts Home Health is looking to hire great candidates for who has a heart for caring for others. Our clients/patients ranges in age from pediatrics to senior care. Great overtime opportunities with flexible scheduling. We are a company that is dedicated to the care of individuals with needs. The needs of our clients range from simple companion care to complex skilled nursing. Though we do not provide live-in services, we do provide 24 hour care to individuals. We would love to welcome you to our Care Team.
