Clinical Executive Director of Nursing

Clinical Executive Director – Pediatrics (RN) Location: Rochelle Park, NJ Travel: Manhattan, Long Island & Connecticut Salary: $120,000–$130,000 per year, based on experience Join Our Growing Pediatric Division! Affirmed Home Care, a premier concierge private-pay home care agency, is seeking an experienced Clinical Executive Director (RN) to lead and oversee pediatric clinical operations across New Jersey, New York, and Connecticut .

This is a key leadership opportunity for an experienced RN who is passionate about pediatric home care, clinical excellence, high-acuity care, regulatory compliance, and developing strong nursing teams .

Key Responsibilities

Lead and oversee pediatric clinical operations across NJ, NY, and CT. Supervise and support pediatric RNs and LPNs while providing clinical guidance and real-time problem solving. Manage a designated caseload of pediatric clients, including VIP, high-acuity, and high-tech cases. Provide hands-on clinical leadership for start-of-care visits, assessments, supervisory visits, and discharges.

Ensure timely and accurate completion of Plans of Care (485s), physician orders, assessments, visit notes, and other clinical documentation . Conduct chart reviews and self-audits to ensure compliance with DOH, Medicare, Medicaid, managed care, and agency standards . Oversee insurance authorizations, reauthorizations, Single Case Agreements (SCAs), and Letters of Medical Necessity (LMNs) to support continuity of care.

Monitor authorization utilization and proactively address renewals, documentation deficiencies, denials, and appeals. Participate in QA/QAPI initiatives and identify opportunities to improve clinical quality, documentation, compliance, and reimbursement. Support nursing orientation, competency validation, education, coaching, and performance management.

Collaborate with Billing, Compliance, Intake, Scheduling, HR, physicians, hospitals, and insurance representatives. Manage pediatric on-call coverage and help address staffing and clinical needs during off-hours when necessary. Support recruitment, evaluation, and development of high-performing pediatric nursing teams.

Travel regularly between NJ, NY, and CT offices as needed.

Requirements

Active Registered Nurse NJ (RN) license 5+ years of pediatric home care leadership experience preferred Strong knowledge of pediatric home care, clinical documentation, and regulatory requirements Experience with Medicaid, Medicare, managed care, authorizations, and payer requirements Strong leadership, communication, organization, and problem-solving skills Ability to manage multiple priorities in a fast-paced environment Willingness to travel between NJ, NY, and CT Flexibility to support occasional evenings and weekends as needed Why Join Affirmed Home Care?

Competitive salary: $120,000–$130,000 Health, dental, and vision insurance 401(k) with company match Generous PTO Leadership and career growth opportunities Collaborative, team-oriented environment Opportunity to help build and shape a growing pediatric division Apply Today! If you are an experienced Pediatric RN Leader looking for an opportunity to make an impact, lead clinical operations, and help build a premier pediatric home care program, we want to hear from you.

Affirmed Home Care is an Equal Opportunity Employer.