Clinical Executive Director of Nursing

Location: Rochelle Park, NJ
Travel: Manhattan, Long Island & Connecticut
Salary: $120,000–$130,000 per year, based on experience

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.

• 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.

• 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

• 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

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.