Director of Clinical Services

JOB SUMMARY

Responsible for overseeing and ensuring 24/7 high-quality clinical care for participants across all settings. This role focuses on delivering participant-centered care in alignment with PACE policies, regulatory standards, and best practices for elder care. As a key member of the PACE program leadership team, this position contributes to policy development, census growth, staff training, and achieving outstanding participant outcomes and satisfaction.

ESSESNTIAL DUTIES AND REPONSIBILITIES:

• Integrate organizational values, mission, and vision into program culture, policies, and daily operations.
• Oversee clinical care and ensure 24/7 high-quality, participant-centered services.
• Monitor participant experience and outcome data, guiding IDT Teams to ensure high-quality care.
• Collaborate with HR and management for staff recruitment, training, and performance oversight.
• Ensure timely and accurate participant assessments and care plans by interdisciplinary teams.
• Establish and oversee an effective 24/7 on-call process with Medical Director.
• Collaborate with leadership to maintain efficient, high-quality services.
• Ensure clinical staff actively engage in team meetings and care planning.
• Develop and monitor budgets, key performance indicators (KPIs), and financial reports for resource utilization for nursing services.
• Participate in Quality Improvement programs, track data, and lead improvement initiatives.
• Ensure clinical compliance with federal, state, and PACE requirements.
• Develop job descriptions and assign duties aligned with competencies.
• Create policies in line with PACE standards and collaborate with leadership, reviewing these policies and procedures at least annually.
• Engage with PACE associations and committees to stay updated on regulations and best practices.
• Collaborate with the Medical Director, Operations Director, and program management teams to ensure high-quality, efficient, and effective service delivery.
• Participate in family and staff meetings, in-service training, orientation and departmental activities. Follow all PACE policies, OSHA safety guidelines, and maintain confidentiality.
• Lead infection control efforts to ensure best practices in all settings.
• Attend continuing education and training as required.
• Maintain required certifications and professional affiliations.
• A registered professional nurse shall be designated in writing to act in the absence of the director of nursing services.
• For NJ: When Director of Clinical Services is operating as an RN, they shall provide care to participants in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record.
• Perform other duties as needed.

EXPERIENCE, EDUCATION AND CERTIFICATIONS:

• State RN license with leadership skills and experience in healthcare delivery and management.
• Bachelor of Science in Nursing Degree required. Master’s degree in management or a healthcare related field preferred. Professional Certification preferred.
• Minimum 3 years’ experience working with the frail and elderly in acute, long-term care or community-based setting.
• 3 years of progressive management experience required. (For NJ: Nursing supervision and/or nursing administration in a licensed healthcare facility)
• Experience in home care, managed care, or long-term care preferred.

PRE-EMPLOYMENT REQUIREMENTS:

• Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
• Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

• Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.