Director of Patient Services / DPS

Registered Nurse — Home Care Agency

Location

Monsey, NY
On-site position with occasional travel to regional offices as needed.

Schedule

Monday–Thursday: 9:00 AM–5:00 PM
Friday: 9:00 AM–1:00 PM

Position Summary

We are seeking an experienced Director of Patient Services / DPS to lead the clinical operations of our New York home care agency.

The ideal candidate must be a licensed Registered Nurse in New York State with strong home care experience, proven leadership ability, and experience supervising RNs, LPNs, aides, clinical supervisors, nursing coordinators, training staff, and office-based clinical teams.

This role requires someone who can balance quality patient care, compliance, DOH readiness, operational efficiency, profitability, staffing realities, and agency growth. We are looking for a practical, calm, organized, business-minded clinical leader who can maintain high standards while also helping the agency run efficiently.

The DPS will oversee clinical operations across multiple areas, including:

LHCSA / PCA clients
Private Duty Nursing / PDN patients
Pediatric cases under CHHA-related programs
Field nurses and internal nursing coordination
Clinical supervisors
In-house PCA and HHA training / certification programs
Quality assurance, audits, policies, procedures, and DOH readiness

This is a senior leadership role for someone who can take ownership, lead a team, work well with other departments, solve problems, improve systems, and make sure clinical operations are compliant, organized, efficient, and professional.

Key Responsibilities

Clinical Leadership and Operations

Oversee all clinical and nursing services within the agency.
Supervise and guide RN Supervisors, RNs, LPNs, nursing coordinators, field nurses, aides, and training staff.
Ensure care is provided according to physician orders, plans of care, 485s, authorizations, payer requirements, DOH regulations, and agency policies.
Oversee clinical issues involving clients, patients, families, nurses, aides, and care partners.
Review admissions, reassessments, supervisory visits, changes in condition, incidents, complaints, transfers, and discharges.
Ensure nursing orders and clinical documentation are entered, followed up on, and corrected timely.
Oversee clinical supervisors to ensure 485s and plans of care are developed, updated, and corrected when needed.
Provide clinical guidance on complex cases, including PDN, pediatric, high-acuity, and medically sensitive patients.
Improve nursing coordination, field nurse oversight, internal nursing workflows, documentation, follow-up, and accountability.
Conduct weekly leadership or “Level 10” style meetings with key clinical team members as needed.

DOH, Audits, Corrective Action Plans, Policies, and Procedures

This is a major responsibility of the DPS role. The DPS must fully own clinical audit readiness and be prepared to work closely and professionally with the Department of Health during any scheduled or unexpected audit, survey, review, investigation, complaint, or finding.

Responsibilities include:

Serve as the front-line clinical leader for DOH audits, surveys, investigations, reviews, and findings.
Work directly and calmly with DOH auditors, surveyors, and regulatory representatives when needed.
Coordinate with all necessary departments to gather documents, review records, prepare responses, and support successful audit outcomes.
Ensure the agency remains audit-ready across clinical records, patient charts, personnel documentation, training records, care plans, 485s, supervisory visits, incident reports, complaint logs, and QA documentation.
Review the HPN daily and ensure appropriate follow-up on relevant notices, alerts, or regulatory updates.
Lead the response to audit findings, deficiencies, complaints, or areas of non-compliance.
Create, implement, and track corrective action plans until completed and effective.
Work with the Quality Assurance department to investigate and resolve incidents and complaints related to patient care.
Prepare and present QI / QA reports to the Quality Improvement Committee on a quarterly basis.
Participate in regular QA meetings and ensure performance improvement measures are implemented where needed.
Take ownership of clinical policies and procedures on an ongoing basis.
Review, update, and implement policies, procedures, forms, handbooks, and clinical workflows as needed.
Train and update staff on policies, procedures, forms, DOH regulations, audit findings, and corrective action items.
Ensure policies are not only compliant, but also practical, clear, current, and aligned with real day-to-day operations.

Program Oversight

The DPS will provide clinical leadership across the agency’s different service lines.

LHCSA / PCA Division

Oversee clinical support for PCA clients.
Ensure care plans are followed and aide supervision is completed properly.
Address changes in condition, missed visits, complaints, and family concerns.
Work with coordinators, nurses, aides, patients, and families to ensure safe and consistent care.

Private Duty Nursing / PDN Division

Oversee PDN patients who require detailed clinical coordination and follow-up.
Ensure PDN cases are properly assessed, staffed, supervised, documented, and monitored.
Review physician orders, nursing notes, care plans, medication concerns, emergency procedures, and clinical documentation.
Support RNs, LPNs, families, and scheduling with complex PDN cases.

Pediatric / CHHA-Related Programs

Oversee pediatric cases that fall under CHHA-related programs and partnerships.
Work closely with CHHA partners, pediatric nurses, families, care managers, and internal staff.
Ensure pediatric care plans, orders, documentation, communication, and supervision are properly maintained.
Ensure staff working with pediatric patients are trained, supported, and appropriately supervised.

In-House PCA / HHA Training Programs

Oversee PCA training, HHA upgrade programs, orientation, and full HHA certification classes.
Ensure class schedules, instructors, attendance, competencies, documentation, and certification records are properly maintained.
Ensure training content is LHCSA-specific, current, and aligned with agency standards.
Review and collaborate on the aide handbook from a clinical perspective.
Ensure graduates are prepared to provide safe, compliant, and high-quality care.
Hold training staff accountable and improve systems for tracking, documentation, and follow-up.

Ideal Candidate

The ideal candidate is a strong, experienced RN leader who understands both the clinical and business sides of home care.

We are looking for someone who can lead people, manage audits, work closely with DOH, update policies and procedures, oversee multiple programs, support training, improve documentation, collaborate with other departments, and help the agency grow.

This person must be practical, calm, accountable, flexible, professional, and solutions-oriented. They should be a strong communicator and team player who can work well with clinical and non-clinical departments.

The right candidate will understand that quality care, compliance, efficiency, profitability, staffing, training, teamwork, and growth oriented.