Position Overview
Join our dynamic healthcare team as an Assistant Director of Nursing (ADON) — a vital clinical leadership role dedicated to ensuring exceptional patient care and operational excellence within our skilled home health services.
In this high-impact position, you will collaborate closely with the Director of Nursing, Administrator, and clinical staff to uphold the highest standards of clinical quality, regulatory compliance, documentation integrity, and patient satisfaction. Your expertise in nursing administration, supervision, care planning, and performance oversight will drive measurable improvements across patient outcomes, staff development, and operational efficiency.
This role offers a rewarding opportunity to lead with professionalism and purpose, foster team development, strengthen clinical performance metrics, and make a meaningful difference in the lives of patients and their families.
The ADON serves as a key clinical leader and may assume delegated responsibilities of the Director of Nursing as assigned. This position also offers a structured pathway toward Director of Nursing advancement based on performance and organizational growth.
Key Responsibilities
Clinical Operations & Oversight
- Assist in overseeing daily nursing operations to ensure efficient case management and appropriate staffing levels.
- Review and evaluate case referrals, home visit findings, and patient assessments to determine appropriate care needs.
- Assist in developing, reviewing, and updating individualized Plans of Care based on patient medical history and clinical presentation.
- Verify physician orders and ensure services are authorized and compliant.
- Coordinate interdisciplinary care efforts with physicians, therapists, social workers, and other healthcare professionals.
- Periodically review patient diagnoses, medications, treatment interventions, and clinical progression to ensure quality and effectiveness of care.
Staffing, Leadership & Productivity Management
- Support management of clinician schedules and visit distribution to maintain operational efficiency.
- Assist in maintaining optimal staffing levels aligned with patient acuity and agency growth.
- Provide mentorship, coaching, and structured performance feedback to nursing staff.
- Participate in interviewing, hiring, onboarding, and orientation of new clinical personnel.
- Foster a positive, accountable work culture emphasizing patient-centered care.
- Support and help maintain clinical productivity benchmarks as defined by agency standards.
- Assist in monitoring visit utilization and frequency alignment with Plan of Care and PDGM expectations.
Documentation, EMR & Regulatory Compliance
- Oversee documentation review processes to ensure accuracy, completeness, and timeliness.
- Ensure compliance with HIPAA regulations and confidentiality standards.
- Manage and monitor EMR/EHR systems to ensure seamless documentation and data integrity.
- Conduct regular audits of medical records and documentation processes.
- Monitor OASIS accuracy and submission timeliness.
- Support adherence to Medicare Conditions of Participation and regulatory standards.
- Assist with survey readiness and state/federal audit preparation.
Quality Metrics & Performance Reporting
- Support tracking and reporting of key clinical performance indicators including:
- Hospitalization and re-hospitalization rates
- OASIS accuracy and timeliness
- Visit utilization and productivity
- Documentation completion timelines
- Care coordination performance
- Medicare reimbursement optimization
- Participate in Continuous Quality Improvement (CQI) initiatives.
- Assist the DON and Administrator in preparing clinical dashboards and operational reports.
- Identify performance trends and assist in implementing corrective action plans when necessary.
Education & Professional Development
- Lead or assist in staff training on:
- Documentation standards and OASIS accuracy
- Medicare compliance
- EMR system optimization
- Safety protocols and best clinical practices
- Promote ongoing professional development opportunities.
- Evaluate clinical competency of staff at least annually.
- Encourage professional growth and continuing education participation.
Qualifications
- BSN preferred; ADN with strong home health leadership experience considered.
- Active RN license in the State of Ohio (required).
- Minimum 3–5 years of home health experience.
- At least 1 year of supervisory or leadership experience.
- Strong knowledge of:
- Medicare Conditions of Participation
- OASIS documentation
- PDGM reimbursement model
- Care planning processes
- HIPAA regulations
- EMR/EHR systems
- Comprehensive understanding of medical terminology, clinical assessment, and care planning.
- Licensed driver with insured automobile per Ohio requirements.
- Current CPR certification.
- Strong organizational, analytical, and communication skills.
- Ability to manage multiple priorities in a fast-paced clinical environment.
Additional certifications in home health or hospice are a plus.
Ideal Candidate Profile
This role is ideal for someone who is:
- Dependable – Consistent and accountable in leadership
- Detail-Oriented – Strong focus on compliance and documentation integrity
- Adaptable – Thrives in a dynamic home health environment
- People-Oriented – Passionate about mentoring and collaboration
- Strategic & Analytical – Comfortable reviewing clinical data and performance metrics
- Independent & Proactive – Identifies and addresses issues before escalation
Compensation & Benefits
- 401(k) with matching
- Health insurance
- Dental insurance
- Vision insurance
- Health Savings Account (HSA)
- Paid Time Off (PTO)
- Gas reimbursement
- Phone expense reimbursement
Work Location: In person – Mason Office (Warren County, Ohio)
Job Type: Full-time
Pay: $70,000.00 - $83,200.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- How many years of OASIS documentation experience do you have?
Experience:
- Home care: 3 years (Required)
License/Certification:
Work Location: In person
