Assistant Director of Nursing - Director of Clinical Compliance

DIRECTOR OF CLINICAL COMPLIANCE & QUALITY Assistant Director of Nursing | CHAP Accreditation Lead | Administrator Track Home Health Agency Region 9, Florida Full-Time Job type Full-time, salaried Location Region 9, Florida (field + office based) Reports to Owner / Administrator Compensation $60,000–$65,000 base + accreditation bonus Administrator track Defined pathway to agency administrator role About the Opportunity We are a fast-growing, AHCA-licensed home health agency in Region 9, Florida, with three active Medicaid provider numbers and contracts with all LTC and MMA managed care organizations. Our patient population is primarily pediatric private duty nursing — a high-acuity, specialized niche that requires clinical excellence and rigorous documentation. We are seeking an experienced registered nurse to join our leadership team in a newly created hybrid clinical-operational role. This position has three interconnected responsibilities: leading our CHAP accreditation effort, serving as Assistant Director of Nursing to support our growing Medicaid caseload, and developing toward the agency administrator role over the next 12–24 months. This is an exceptional opportunity for a clinically strong home health RN who is ready to transition into agency leadership — with a clear, supported path to the top operational role in the organization. Key Responsibilities CHAP Accreditation — Medicare Census Build Screen incoming referrals for Medicare eligibility and homebound status, selecting appropriate patients for the CHAP survey census Conduct initial assessments and complete OASIS-E documentation accurately for up to 10 concurrent Medicare patients — these patient records form the primary audit material for the CHAP site visit Provide or coordinate skilled nursing visits through patient discharge, ensuring clinical documentation meets Medicare Conditions of Participation Maintain survey-ready chart quality throughout the census build period CHAP Accreditation — Policy, Compliance & Quality Conduct a comprehensive gap analysis of existing policies and procedures against CHAP Community Health Accreditation Partner standards Build and maintain the full agency policy and procedure manual to CHAP standards Establish and operate the QAPI (Quality Assessment and Performance Improvement) program, including quarterly meetings, outcome tracking, data collection, and corrective action planning Develop and maintain infection control, emergency preparedness, and patient rights documentation Plan and lead internal mock survey in advance of the CHAP site visit Serve as primary agency contact for the CHAP application process and site visit coordination Post-accreditation: maintain ongoing compliance calendar and manage the annual standards review cycle Assistant Director of Nursing — Ongoing Medicaid Operations Review and co-sign nursing notes for Medicaid patients, verifying clinical accuracy, visit frequency compliance, and payer documentation requirements Assist the Director of Nursing with prior authorization requests and renewals, with particular focus on the complex authorization cycles for pediatric PDN cases Assist with plans of care (485s) — ensuring clinical accuracy, managing physician signature follow-up, and ensuring timely processing Conduct 60-day supervisory field visits alongside or in place of the DON — including direct observation of field nurses, patient status review, and care plan updates Provide clinical and documentation guidance to field nursing staff as needed Long-Term Track — Administrator Development Shadow the owner/administrator on AHCA compliance, survey preparation, and operational decisions Gradually assume increasing responsibility for day-to-day agency operations Obtain or confirm AHCA home health administrator license eligibility under Florida Statute 400.474 Transition formally to the agency administrator role on a mutually agreed timeline, targeted within 12–24 months Qualifications Required Active Florida Registered Nurse (RN) license in good standing Minimum 2–3 years of home health field experience Demonstrated OASIS-E competency — ability to complete OASIS assessments accurately (OASIS certification preferred) Working knowledge of Medicare Conditions of Participation and home health documentation standards Valid Florida driver’s license and reliable transportation for field visits Strongly Preferred Prior experience with CHAP, ACHC, or Joint Commission accreditation processes Experience with Medicaid and/or MMA prior authorization for home health or PDN services Background in QAPI program development or clinical compliance Prior supervisory, DON, or clinical coordinator experience in a home health setting Administrator Track Requirement Candidates interested in the administrator pathway must meet or be on a clear path to meeting AHCA home health administrator qualifications under Florida Statute 400.474. Please be prepared to discuss your specific eligibility pathway during the interview process. Compensation & Benefits Base salary $60,000–$65,000 depending on experience and credentials Accreditation bonus Upon successful CHAP accreditation Mileage Reimbursed at IRS standard rate for all field visits Schedule Primarily Monday–Friday; some flexibility required for patient care needs Why This Role Join a high-growth agency tripling revenue over three years in a specialized, defensible niche Take ownership of a meaningful project — CHAP accreditation — with visible impact from day one A clearly defined, written pathway to agency administrator with full leadership support Work directly with the owner/administrator in a lean, high-trust environment — no corporate bureaucracy Competitive compensation with performance-linked bonuses tied to outcomes you control Pay: $60,000.00 - $65,000.00 per year Work Location: In person