Clinical Director, Home Health & Hospice RN

As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health.

Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation:

• Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff).
• We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff).
• Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match.
• A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit.
• To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary.
• Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee.

Enrich the lives of older adults through community, choice, and continuing care in the licensed Clinical Director, Home Health & Hospice role. We are seeking an experienced and mission-driven Clinical Director to oversee and manage the Home Health & Hospice clinical operations in Washington State . The Clinical Director is responsible for ensuring high-quality patient care, compliance with Washington State Department of Health (DOH), Medicare, and Medicaid regulations , and leading a team of healthcare professionals. This role requires expertise in regulatory compliance, leadership, patient-centered care, and operational efficiency . Find your sense of belonging at Wesley!

 You will provide continuing care through these responsibilities

Essential functions of this position include the following.

Clinical Oversight & Quality Assurance

• Ensure all home health and hospice services comply with Washington State Department of Health (DOH) licensing regulations .
• Maintain adherence to Medicare Conditions of Participation (CoPs), Medicaid requirements, and accreditation standards (Joint Commission, CHAP, ACHC).
• Develop, implement, and oversee Quality Assurance and Performance Improvement (QAPI) programs .
• Monitor and improve patient outcomes, safety measures, and adherence to clinical best practices .
• Stay updated on Washington State laws regarding opioid prescribing, advance directives, and end-of-life care .

Leadership & Staff Development

• Supervise, mentor, and support nurses, therapists, social workers, and home health and hospice aides .
• Ensure staff training, competency evaluations, and continuing education (CE) compliance per Washington State requirements.
• Conduct interdisciplinary team meetings, case reviews, and staff performance evaluations .
• Build a culture of belonging through active use of the company’s recognition and reward platform.
• Create an engaged and high-performing team through adoption and visual support of the company’s people strategies.

Regulatory Compliance & Documentation

• Oversee documentation practices to ensure compliance with Washington State DOH, Medicare, and Medicaid standards .
• Ensure agency readiness for state surveys, federal audits, and accreditation inspections .
• Maintain compliance with Washington State’s POLST (Physician Orders for Life-Sustaining Treatment), Death with Dignity Act, and Medicaid waiver programs .
• Address patient complaints, incidents, and grievances while ensuring proper reporting procedures.

Operational & Financial Management

• Work with the Executive Director, Associate Director, and finance team to manage clinical budgets, resource allocation, and cost-effective care delivery.
• Optimize staffing and scheduling to ensure efficiency while maintaining high-quality patient care.
• Oversee utilization management to ensure appropriate and ethical use of Medicare/Medicaid reimbursements .
• Develop a plan for continued growth of census and services.

Patient & Family Advocacy

• Serve as a liaison between patients, families, physicians, and interdisciplinary teams to ensure holistic and compassionate care.
• Educate patients and families on hospice eligibility, disease progression, and palliative care options .
• Coordinate with community organizations, volunteer programs, and support services to enhance patient care.
• Leverage Lean thinking and methodology to develop contingency plans and staff competency with service recovery.

Our requirements and qualifications for success

• Active, unrestricted RN (Registered Nurse) license in Washington State (WA DOH licensed) or out-of-state MSL.

o  Follow the Washington Nurse Practice Act.

o If MSL, complete Suicide Prevention Training in advance of hire per state regulations.

o If MSL, complete Washington State Board of Nursing (WABON) MSL demographic survey in advance of hire per state regulations.

• Bachelor’s degree in Nursing (BSN) required; Master’s degree (MSN, Healthcare Administration, or related field) preferred.
• Minimum of 3-5 years of leadership experience in home health and/or hospice care.
• Deep knowledge of Washington State DOH home health and hospice regulations, Medicare/Medicaid CoPs, and accreditation standards.
• Strong leadership, problem-solving, and organizational skills.
• Proficiency in Electronic Health Records (EHR), case management, and clinical reporting systems.
• Ability to lead interdisciplinary teams, drive performance improvement, and ensure regulatory compliance.
• Experience managing hospice and home health surveys, audits, and accreditation processes.
• Bilingual skills; preferred but not required.
• Certification in Hospice & Palliative Nursing (CHPN) or Home Health Compliance (HCS-D, COS-C, etc.); preferred but not required.

Physical, environmental, and mental requirements

• Ability to give direct patient care, including participating in lifting, transferring, positioning, and assistance of residents with walking or in wheelchairs.
• Able to lift 40lbs on a regular basis.
• Ability to use a laptop, tablet or touch screen to document resident records.
• Apply your physical and muscle strength to lift, push, pull or carry objects.
• Ability to utilize your lower back and abdominal muscles to support part of the body repeatedly and continuously over time without fatiguing.
• Ability to listen to and comprehend information and ideas provided through conversation, email, and text.
• Ability to maintain focus and concentration.

Salary Range: $104,665.60 to $158,662.40 per year