Director of Clinical Services - RN (Home Health)

About Adaptive

We are fixing US healthcare by building an AI-native physical care platform, starting with home health.

Roughly 40% of what home health spends goes to administrative work, not patient care. That cost structure is why agencies have to turn away patients they know they could help. We automate that work, which lets us say yes to the roughly 30% of patients who go untreated today.

It also changes the job. We have built branch clinical leadership to be free from high-volume, process-intensive back-office functions, with centralized support behind them. That lets our clinical leaders put their full focus where it matters most: active clinical oversight, skills training and development, and driving the systems and behaviors that keep patients safe and out of the hospital. The same technology removes administrative burden from field clinicians so they can do what they were trained to do.

The Role

We are launching in Chicago and hiring the clinical leader who will build it.

This is not a clinical support role and it is not a role where you inherit a running branch. You will own clinical quality and execution for the market from the beginning: hiring your clinician team, setting the standard they work to, and holding the line on it as the branch scales.

Concretely, that means intake, eligibility verification, authorization, scheduling, billing, and collections are not yours. They run centrally. In most agencies the branch clinical leader absorbs a meaningful share of that work by default.

Compensation is structured to match. Variable comp is weighted toward clinical quality outcomes rather than census growth.

What You'll Do

• Own clinical execution for the market. Monitor clinical status across active patients and ensure timely follow-up when a condition changes. Coordinate next steps after clinical events including new symptoms, missed visits, safety concerns, hospitalizations, and discharges. Ensure care plans are clear and actionable for field clinicians, with appropriate coordination of orders and plan updates. Maintain high standards for documentation quality and timeliness.

• Build and develop the clinician team. Hire, onboard, and coach field clinicians on clinical reasoning, visit planning, patient education, and documentation. Set and reinforce expectations for reliability, professionalism, and patient experience. Address performance issues quickly and fairly, including structured improvement plans where needed.

• Drive quality, safety, and compliance through systems. Identify recurring clinical and documentation issues and implement process improvements. Ensure clinical work meets standards before downstream review. Standardize rather than relying on heroics.

• Be the escalation leader. Serve as a calm, decisive escalation point for clinical questions and patient risk. Know when to intervene directly and when to empower field staff with guidance. Coordinate with market leadership on high-risk cases, incidents, and sensitive patient situations.

Requirements

• Active, unrestricted Illinois RN license.

• Minimum one year of leadership or supervisory experience at a Medicare-certified skilled home health agency, with direct reports.

• Working knowledge of Medicare Conditions of Participation and OASIS documentation standards.

• Demonstrated ability to lead interdisciplinary teams, oversee patient care plans, and manage clinician performance.

Strongly Preferred

• Experience opening a new branch, market, or de novo location.

• Experience at an agency with centralized or shared-services back office functions.

• Utilization review, quality assurance, or performance improvement experience in a home health context.

• Proficiency with Homecare Homebase.

Who You Are

• Owner mindset. You prefer accountability over recommendations.

• Bias to action. You solve problems quickly while staying safe and compliant.

• Systems thinker. You standardize and improve workflows rather than absorbing failures personally.

• High standards. You hold the line on quality, documentation, and patient experience.

• Low ego. You will do hands-on work and teach others to do it well.

Compensation and Benefits

• Pay: 115K-130K base + bonus. On Target Earning (OTE) 140K-150K

• Benefits: Health, dental, and vision insurance. 401(k) with employer match. Paid time off.

Working Conditions

• Primarily office-based with occasional field responsibilities. Local travel and patient home visits as needed. Must be able to manage multiple priorities in a fast-paced environment. Occasional exposure to varied home environments and weather conditions. Must be able to lift up to 50 lbs and support patients as needed.

Work location: Onsite, Chicago metro.

Adaptive is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.