MA - Director of Nursing (DON)

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.
We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.
Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.
We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.
Join us in solving one of the most important challenges of our time.

The Opportunity:

As the Director of Nursing, you will lead and direct clinical operations within the home health sector, ensuring the delivery of exceptional patient care, regulatory compliance, and staff performance. Reporting directly to the Head of Nursing, you will act as a senior leader who collaborates with executive leadership to drive strategic initiatives, fosters a culture of excellence and empathy, and champions the growth and development of the clinical team. In this role, you will oversee all clinical operations and provide critical leadership to clinic leads, case managers, and supporting staff, ensuring total alignment with Abby Care’s mission and core values.

A true player-coach, you are equally comfortable setting high-level clinical strategies as you are mentoring Clinical Nurse Managers on daily operational hurdles. Passionate and mission-driven, you have a deep commitment to patient- and family-centered care for children and families with special needs and chronic illnesses. You thrive in dynamic, fast-paced environments, using your strong communication skills and clinical expertise to foster accountability, learning, and excellence across all your teams.

This is a Full-Time Hybrid opportunity based in Boston, MA.

What you’ll work on:

• Drive strategic leadership: Develop clinical strategies supporting Abby Care’s mission for children and families with special needs and chronic illnesses, collaborating with leadership to set goals and evaluate outcomes.

• Oversee daily operations: Manage daily clinical operations, ensuring compliance with organizational policies, procedures, and healthcare regulations.

• Optimize resources and staffing: Align staffing and resource allocation with organizational needs to support optimal patient care and clinical efficacy.

• Champion clinical excellence: Ensure all clinical staff adhere to evidence-based practices and regulatory standards while maintaining a compassionate patient care environment.

• Manage and develop teams: Mentor Clinical Nurse Managers, provide tools for effective leadership, and lead performance reviews to foster continuous professional growth.

• Lead recruitment and retention: Drive recruitment, onboarding, and retention strategies to build a strong, resilient, and highly skilled clinical team.

• Advocate for families: Cultivate a welcoming, empathetic environment, addressing patient and family concerns with professionalism to enhance satisfaction.

• Manage financial budgets: Collaborate with finance to develop, monitor, and manage the clinical budget, implementing cost-effective practices without compromising quality.

• Ensure regulatory compliance: Oversee quality audits, maintain comprehensive documentation, and coordinate corrective actions to comply with federal, state, and local regulations.

• Navigate policy updates: Stay informed of evolving healthcare regulations, guiding staff through policy updates and maintaining full organizational compliance.

What success looks like:

In 12 months, success means establishing a highly compliant, operationally smooth home health clinical division that consistently hits quality assurance benchmarks. You will have built a resilient, highly engaged team of Clinical Nurse Managers who feel mentored, empowered, and fully aligned with Abby Care's empathetic approach. Ultimately, your leadership will be reflected in stabilized staff retention rates, optimized clinical resource allocation, and a measurably high standard of family-centered care across the Greater Boston market.

What you’ll have:

Required Qualifications:

• Bachelor of Science in Nursing (BSN).

• Current, unrestricted Registered Nurse (RN) license in Massachusetts.

• 5+ years of leadership experience in a clinical setting.

• Effective communication skills and the ability to thrive in a dynamic, fast-paced environment.

• Valid driver's license.

• Must reside or be willing to permanently relocate to the greater Boston area.

Preferred Qualifications:

• Master’s in Nursing (MSN) or equivalent advanced degree.

• Multi-state/compact state licensure eligibility.

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.

• Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.

• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.

• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).

• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

1. Families First
   Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”

2. Urgency with Precision
   Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.

3. Relentlessly Resourceful
   As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.

4. Purpose with Positivity
   We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.

5. Driven to Redefine What’s Possible
   We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.