Director of Operations - HHC

Position Title Director of Operations – Home Healthcare Reports To Chief Executive Officer (CEO) / Chief Operating Officer (COO) Position Summary The Director of Operations is responsible for overseeing the daily operations of the home healthcare agency to ensure the delivery of high-quality, compliant, and cost-effective patient care.

This role provides strategic and operational leadership to clinical and administrative teams, ensuring regulatory compliance, operational efficiency, staff development, patient satisfaction, and financial performance.

Key Responsibilities

Operational Leadership Direct and oversee all day-to-day agency operations. Develop and implement operational policies, procedures, and best practices. Ensure efficient coordination of clinical, administrative, scheduling, billing, and support services. Monitor productivity, workflow, and operational performance metrics.

Identify opportunities to improve efficiency, patient outcomes, and employee engagement. Clinical Operations Support Partner with the Director of Nursing and clinical leadership to ensure quality patient care. Support interdisciplinary collaboration among nurses, therapists, social workers, and home health aides. Monitor patient satisfaction and implement improvement initiatives.

Ensure timely initiation and continuation of patient services. Regulatory Compliance Maintain compliance with all federal, state, and local regulations governing home healthcare. Ensure adherence to Medicare, Medicaid, HIPAA, OSHA, and accreditation standards. Prepare for state surveys, audits, and accreditation reviews.

Develop corrective action plans when necessary. Financial Management Assist with budgeting, forecasting, and financial planning. Monitor operational expenses and identify cost-saving opportunities. Review key financial indicators including revenue, labor costs, and productivity. Collaborate with finance and billing departments to optimize reimbursement and revenue cycle performance.

Staff Leadership Recruit, train, mentor, and evaluate management and supervisory staff. Foster a positive, accountable, and collaborative work environment. Establish performance goals and conduct regular performance evaluations. Support employee retention and professional development initiatives. Quality Improvement Lead Quality Assurance and Performance Improvement (QAPI) initiatives.

Monitor quality indicators, patient outcomes, and incident reports. Analyze operational data and implement continuous improvement strategies. Promote a culture of patient safety and clinical excellence. Strategic Planning Participate in organizational strategic planning. Support business growth initiatives, including new service lines and geographic expansion.

Build relationships with referral sources, hospitals, physicians, and community partners. Identify opportunities to enhance market presence and patient access.

Qualifications

Education

Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field required. Master's degree (MHA, MBA, MSN, or related field) preferred. Experience Minimum of 5–7 years of progressive leadership experience in home healthcare or healthcare operations. Experience managing multidisciplinary teams.

Strong knowledge of Medicare Conditions of Participation and home health regulations. Experience with budgeting, quality improvement, and operational management. Skills Exceptional leadership and organizational skills. Strong analytical and problem-solving abilities. Excellent written and verbal communication skills. Knowledge of electronic health record (EHR) systems and healthcare technology.

Financial and operational management expertise. Ability to manage multiple priorities in a fast-paced environment. Strong interpersonal and relationship-building skills. Preferred Certifications Licensed Registered Nurse (RN) preferred but not required. Certified Professional in Healthcare Quality (CPHQ) preferred. Lean Six Sigma certification is a plus.

Physical Requirements Ability to travel to branch locations and community partners as needed. Prolonged periods of sitting, standing, and computer work. Occasional lifting of office materials up to 25 pounds. Key Performance Indicators (KPIs) Patient satisfaction scores Employee retention and engagement Regulatory compliance and survey outcomes Operational efficiency and productivity Budget adherence Quality and safety metrics Revenue growth and profitability Timeliness of patient admissions and service delivery Work Environment This position operates in a professional office environment with regular travel to patient care sites, branch offices, referral partners, and community organizations.

The Director of Operations collaborates closely with executive leadership, clinical teams, and administrative staff to ensure exceptional patient care and organizational success. This version is appropriate for a Medicare-certified home health agency and can be customized further for hospice, private-duty home care, multi-site operations, or accreditation standards such as ACHC, CHAP, or The Joint Commission.