Clinical Operations Leader
Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 50,000 compassionate caregivers across 12 states. We’re looking for people who care about others, who are willing to listen, lean in and make impactful change. Each role at Help at Home can have a positive impact in supporting our caregivers and clients. If you are someone who leads with passion and integrity and are looking to join a rapidly growing, industry leading team, Help at Home may be a good fit for you.
Job Summary:
The Clinical Operations Leader is responsible for the strategic oversight and clinical operations of in-home nursing and cluster home care services across the New York market. This role ensures compliance with New York State Department of Health (DOH) regulations, Managed Long-Term Care (MLTC) program requirements, and Federal guidelines. The Clinical Leader supports a growing client base exceeding 5,000 individuals and leads a multidisciplinary clinical team to deliver high-quality, cost-effective, and person-centered care in community settings. Key responsibilities include planning, directing, and evaluating clinical initiatives to ensure optimal service delivery, quality, and regulatory compliance.
*Regular onsite presence required in Industry City office with occasional visits to offices across all five boroughs. This person must reside in the NYC area.
Duties/Responsibilities:
- Lead execution of clinical business operations for in-home nursing and cluster home care models specific to NY State requirements.
- Ensure compliance with DOH regulations, MLTC guidelines, and Medicaid contractual obligations.
- Oversee all aspects of client care including admission assessments, reassessments, supervision, and case management services to maintain compliance with productivity standards.
- Collaborate with Operations, Intake, and Quality & Compliance teams to develop, review, and implement clinical protocols tailored to the needs of high-volume home care populations.
- Monitor service delivery outcomes, KPIs, and care quality benchmarks across a client base of 5,000+ individuals.
- Direct strategic deployment of clinical programs to support MLTC plans, home-based skilled services, and caregiver support.
- Ensure timely clinical documentation, visit compliance, and execution of nurse visit schedules, including urgent and high-risk cases.
- Lead efforts in continuous improvement, incorporating best practices, data analytics, and clinical technology enhancements.
- Maintain a proactive approach to workforce planning, nurse recruitment, and retention to ensure appropriate staffing for large-scale client needs.
- Track and ensure timely completion of mandatory trainings, CEUs, and licensure renewals for all clinical staff.
- Collaborate with Quality and Compliance to support audit readiness, implement corrective action plans, and improve clinical documentation processes.
- Serve as a senior clinical liaison with MLTC health plans, state surveyors, and external stakeholders.
Education and Experience:
- Bachelor of Science in Nursing (BSN) required; Master’s in Nursing, Healthcare Administration, or Business Administration (MBA) preferred.
- Current NYS Registered Nurse (RN) license in good standing.
- Minimum 5 years of progressive leadership in home health or home care operations, with significant experience in New York's MLTC and Medicaid landscape.
- Proven experience managing clinical teams serving over 5,000 clients across dispersed home/community-based settings.
- Deep understanding of NYS DOH regulations, CHHA/LHCSA operations, and MLTC quality measures (e.g., UAS-NY).
- Minimum of three (3) years of quality/process improvement experience.
- Advanced skills in Microsoft Office, EMR/EHR systems, and clinical workflow optimization.
Salary Range:
- $150,000 - $190,000
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.
Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.
Data Security and Privacy Statement
At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties.
We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us.
Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information.