⭐ Your Mission
To deliver skilled nursing services AND design, launch, and scale a statewide Home Health division - building the systems, workflows, team, and payer relationships needed to create a financially strong program with exceptional clinical quality.
You are not inheriting a system.
You are building the system.
You will begin hands-on and grow into the role of General Manager of Home Health Services as the division becomes profitable.
⭐ What You Will Lead - AND Do
1. Build & Launch (Day 1)
Lead the clinical launch of Bridging Care’s licensed Home Health agency under WAC 246-335
Architect clinical workflows: referral acceptance → SOC assessment → Plan of Care → skilled visits → documentation → billing → QA
Create documentation templates, clinical standards, and compliance protocols from scratch
Support MCO contracting (CHPW, CCW, Molina, UHC, Kaiser, Wellpoint)
Integrate Home Health services seamlessly with Bridging Care’s 2,200-member care coordination model
Support referral acceptance decisions from a clinical appropriateness and safety perspective
2. Provide Clinical Services (Bootstrap Phase)
To keep the division lean and self-funding, you will:
Conduct Start of Care (SOC) assessments, initial evaluations, and skilled nursing visits
Develop and implement individualized Plans of Care
Coordinate interdisciplinary services across skilled disciplines (RN, PT, OT, ST, HHA)
Maintain excellent documentation and compliance with WAC 246-335 standards
Begin generating revenue immediately while building the division
This phase lasts only until the program becomes profitable - then your caseload decreases as leadership expands.
3. Grow & Scale (Months 4–12)
Hire and supervise additional skilled clinicians - RNs, PTs, OTs, STs, and HHAs (initially 1099, then W2)
Build an integrated, multidisciplinary clinical team across Pierce County and South King County
Implement dashboards, KPIs, and scalable operational processes
Develop productivity, quality, and financial performance systems
4. Operate & Optimize (Months 6–18)
Own clinical quality, compliance, documentation standards, and audit readiness
Manage toward productivity, financial performance, and strong patient outcomes
Improve access, reduce missed visits, and build a sustainable clinical model
Collaborate with Quality/Compliance on monthly audits and corrective action plans
Serve as the key operational leader for Home Health services
Prepare for promotion to General Manager / VP of Home Health Services
⭐ Who You Are
✔ You are BOTH clinical AND operational
You enjoy providing direct patient care - and you love building systems, workflows, and programs.
✔ You are a builder, not a maintainer
You thrive in environments where you get to create structure, not just follow it.
✔ You think in terms of “Who, not How”
You know how to recruit the right clinicians and build a high-performing interdisciplinary team.
✔ You can talk to payers, regulators, and clinicians
Comfortably covering compliance, documentation, quality, outcomes, workflows, and financial performance.
✔ You have built or scaled a healthcare program before
You bring demonstrated experience launching, growing, or turning around a clinical program or healthcare operation, including building teams, standing up workflows, and driving quality outcomes. Home health experience is a plus, but what matters most is that you know how to build.
✔ You are entrepreneurial and mission-driven
You want to improve lives AND build a sustainable, profitable division.
✔ You are hungry for growth
You want a pathway to become a VP of Home Health Services - and eventually lead a statewide scalable operation.
⭐ Qualifications
Required:
Current RN license in good standing in Washington State (Required)
Associate’s or Bachelor’s degree in Nursing (BSN preferred)
Demonstrated experience building, scaling, or turning around a healthcare program or clinical operation , including staffing, compliance, and quality outcomes
Minimum 5 years of healthcare experience, including 2+ years in a clinical leadership or program management role
Demonstrated experience supervising skilled clinical staff (RN/LPN, PT/OT/ST, HHA under skilled Plan of Care)
Strong knowledge of healthcare regulatory and documentation requirements (WAC 246-335 home health knowledge is a plus but not required)
Ability to perform patient assessment (medical history, physical health, mental health considerations, cognitive screening)
Strong communication, leadership, coaching, and performance management skills
Proficient with Microsoft Office and ability to use agency systems (OneHap and related tools)
Clean criminal background check and ability to meet credentialing requirements
Preferred but not required:
BSN or MSN degree
Prior home health or home-based care experience
Experience with WAC 246-335 home health requirements
Experience with WA Medicaid, MCOs, or managed care contracting
Experience with DOH licensing, surveys, or audits
Experience in startups, integrated care, community health, or multidisciplinary settings
OASIS assessment experience
Pay: $110,000.00 - $135,000.00 per year
Benefits:
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Application Question(s):
Do you have an Associate's or Bachelor's degree in Nursing?
Do you have experience supervising skilled clinical staff (RN/LPN as applicable, PT/OT/ST, HHA under skilled POC)?
Do you have strong knowledge of WAC 246-335 requirements and home health documentation expectations?
Experience:
healthcare: 5 years (Required)
License/Certification:
RN license in good standing in WA state (Required)
Work Location: Hybrid remote in Federal Way, WA
