RN Administrator - Home Health Division

2085 RN Administrator – Home Health Division
Position Type: Direct Hire

Position Overview

We are seeking an experienced and highly motivated RN Administrator to oversee the daily operations, clinical administration, and continued growth of a home health division.

This position offers a unique opportunity for a Registered Nurse who brings a strong combination of clinical expertise, operational leadership, regulatory knowledge, and business development skills.

Reporting to the Director of Healthcare, the RN Administrator will be responsible for managing clinical and administrative activities, supervising field staff, ensuring regulatory compliance, maintaining high standards of patient care, and supporting business growth through referral relationships and community outreach.

Key Responsibilities

Operations Management & Leadership

• Oversee daily home health operations, including patient census reporting, referral tracking, and service coordination.
• Supervise clinical and field staff, both onsite and remotely, ensuring quality care and operational efficiency.
• Manage employee recruitment, interviewing, onboarding, training, scheduling, performance evaluations, and disciplinary actions.
• Oversee payroll approvals, staffing expenses, operational budgets, and accounts receivable resolution.
• Identify opportunities to improve operational processes, workflows, and overall efficiency.
• Establish departmental goals, performance expectations, and annual operational objectives.
• Develop and maintain relationships with vendors, healthcare partners, and service providers.
• Coordinate patient assessments, service needs, and the resolution of urgent patient care issues.
• Support ongoing staff education, professional development, and training initiatives.
• Maintain compliance with CMS, CHAP, and applicable home healthcare regulations.

Business Development & Referral Management

• Establish and maintain relationships with hospitals, physicians, nursing homes, assisted living facilities, and other healthcare referral sources.
• Develop and implement strategies to increase patient referrals and support agency growth.
• Identify new business opportunities, partnerships, and potential payer relationships.
• Conduct outreach and business development activities to promote home health services.
• Monitor referral activity and evaluate the effectiveness of sales and marketing initiatives.
• Stay informed about market trends, competitor services, and pricing strategies.
• Collaborate with marketing leadership on digital marketing initiatives, social media content, and promotional campaigns.

Clinical Administration & Patient Care Coordination

• Coordinate new patient referrals, admissions, assessments, and ongoing care services.
• Communicate with patients and families regarding available services, care teams, and contact information.
• Collaborate with physicians, social workers, therapists, nurses, and home health aides to coordinate patient care.
• Obtain necessary physician documentation and follow up on required signatures and medical records.
• Create and maintain accurate electronic patient profiles and clinical records.
• Assign appropriate clinical disciplines to patients and coordinate follow-up after the Start of Care (SOC).
• Review patient insurance eligibility and verify coverage for services.
• Assist with patient care issues, service concerns, and clinical coordination.
• Participate in on-call responsibilities during and outside regular business hours.

Documentation, Compliance & Quality Assurance

• Maintain accurate patient documentation using WellSky and Allscripts healthcare software.
• Train employees on WellSky documentation and operational workflows.
• Oversee diagnosis coding and clinical documentation for new patient admissions.
• Review and verify accuracy of OASIS assessments, including:
• Start of Care (SOC)
• Resumption of Care (ROC)
• Recertifications
• Discharges (D/C)
• Ensure required OASIS documentation is completed accurately, submitted, and exported within applicable deadlines.
• Submit Medicare Notices of Admission (NOA) within required timeframes.
• Perform quality assurance reviews of electronic and paper patient records.
• Assist with Quality Assessment and Performance Improvement (QAPI) initiatives.
• Address billing discrepancies, documentation errors, and outstanding physician orders.
• Maintain compliance with Medicare, CMS, CHAP, and applicable state and federal regulations.
• Ensure proper documentation and care coordination throughout the patient lifecycle, from admission through discharge.

Qualifications & Requirements

• Graduate of an accredited or state-approved Registered Nursing program.
• Active, unrestricted Registered Nurse (RN) license in Michigan.
• Minimum of 2 years of direct patient care nursing experience.
• Strong understanding of home health operations, clinical documentation, and patient care coordination.
• Knowledge of CMS, Medicare, and home health regulatory requirements.
• Familiarity with OASIS assessments, SOC documentation, recertifications, and discharge processes.
• Experience with WellSky (formerly Kinnser) and/or similar home health electronic medical record systems preferred.
• Experience using Allscripts or comparable healthcare referral management software preferred.
• Strong organizational, communication, and problem-solving skills.
• Ability to supervise employees, manage competing priorities, and work independently.
• Professional demeanor with a strong commitment to quality patient care and ethical business practices.
• Proficiency with electronic documentation systems and general office technology.
• Ability to maintain all required professional credentials and licensure.
• Willingness to travel locally throughout the Metro Detroit area as needed.
• Ability to accommodate occasional evening and after-hours responsibilities.

Benefits

• Medical, Dental & Vision Insurance
• Paid Time Off (PTO)
• 401(k) Retirement Plan
• Life Insurance
• Tuition Reimbursement
• Monthly Pay via Direct Deposit

Ideal Candidate

The ideal candidate is a Registered Nurse with a strong home health background who enjoys both the clinical and business operations sides of healthcare.

This individual should be comfortable managing patient care coordination, supervising staff, navigating regulatory requirements, building relationships with referral sources, and helping grow a home health operation.

A successful candidate will be organized, proactive, relationship-driven, and capable of balancing patient care quality with operational and business objectives.