Duke University Health System Job Description: |
| Job Title: SR DIR, HOME-BASED CARE | Job Code: 5691 |
| FLSA: E | Pay Target: K1 |
| Date: 02/01/2026 | Supervisory Responsibility: Y |
The Sr. Director, Home-Based Care provides strategic oversight and operational leadership for all home-based care programs, including but not limited to; Home Health, Hospice, and Infusion which includes Nursing, Pharmacy and Distribution services. This role ensures the delivery of high-quality, patient-centered care in the home setting, emphasizing safety, comfort, and dignity. The leader will integrate clinical operations across service lines, coordinate interdisciplinary teams, and champion compliance with federal, state, and accreditation standards. By fostering innovation and collaboration, this position drives clinical excellence, regulatory adherence, staff development, and financial sustainability within a home-based care environment.
Clinical Responsibilities
Develop and implement integrated clinical strategies for home health, hospice, and home infusion nursing and home infusion pharmacy programs.
Develop and foster effective collaboration across service lines to ensure integrated clinical care.
Monitor and elevate clinical outcomes, patient satisfaction, and implement corrective actions.
Direct business line directors/operators, ensuring consistent standards of care.
Foster collaboration among nursing, therapy, pharmacy, and social work/bereavement teams while elevating staff engagement and satisfaction
Support clinical education, competency programs, and leadership development.
Ensure compliance with infection control, medication management, and safety protocols.
Promote a culture of compassion, dignity, and respect for patients and families.
Ensure seamless transitions of care between service lines and external providers.
Operational Responsibilities
Lead initiatives for growth, innovation, and service expansion in alignment with strategic objectives
Provide administrative directions to management staff (planning, decision-making, professional development).
Optimize staffing models, scheduling, resource allocation, and operational efficiency
Coordinate resource needs, review budgets, and prepare variance analyses.
Collaborate with finance to develop and manage budgets, cost controls, and reimbursement compliance.
Coordinate with both DHCH entity and Duke Health regulatory, compliance, risk management, and patient safety operations (as a governance function).
Maintain readiness for audits and surveys, and lead corrective action plans with a focus on staff and patient safety and clinical standards
Both Clinical & Operational
Align clinical operations with organizational goals, quality benchmarks, and regulatory requirements.
Ensure adherence to CMS Conditions of Participation, Joint Commission standards, state licensing regulations, and other pertinent regulations.
Collaborate with accreditation, compliance, and performance Improvement programs.
Oversee and optimize day-to-day clinical and administrative operations.
Direct activities with managers and administrators to ensure high- quality, efficient clinical services. Perform other related duties incidental to the work described herein.
| Education: | Completion of an accredited Bachelor's degree in a clinical field such as Nursing, Pharmacy, Physical Therapy, Occupational Therapy, Speech Therapy or a related field required. Advanced degree (MSN, MBA, or MHA) preferred. |
| Experience: | Minimum 7-10 years of progressive leadership experience in Home Health, Hospice, and/or Infusion. |
| Degrees, Licensure, and/or Certification: | Current North Carolina licensure or ability to obtain as required by professional discipline. |
| Knowledge, Skills, and Abilities: | Strong knowledge of CMS regulations, accreditation standards, and reimbursement models. Proven ability to lead multi-site, multi-service clinical operations. Strategic Thinking & Vision Regulatory Expertise Financial Acumen Leadership & Team Development Quality & Compliance Management Visionary and strategic thinker with ability to align clinical operations to organizational goals. Strong communication and interpersonal skills to foster collaboration across interdisciplinary teams. Decisive and adaptable in dynamic healthcare environments. Commitment to patient-centered care and continuous quality improvement. Proven ability to mentor and develop future leaders within the organization. Ethical leadership with focus on compliance and integrity |
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
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