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Director of Home-Based Services

The Center for Elders’ Independence (CEI) is a PACE (Program of All-Inclusive Care for the Elderly) organization that uses an interdisciplinary team (IDT) approach to deliver high-quality, integrated, and participant-centered care. CEI is committed to promoting autonomy, quality of life, and the ability for older adults to remain safely in their communities.

The Position

Reporting to the Senior Director of Support Programs, the Director of Home-Based Services provides strategic, clinical, and operational leadership across home care (non-skilled services), home health (skilled nursing), and hospice. This role is responsible for ensuring high-quality, efficient, and compliant delivery of in-home services within the PACE model. The Director leads interdisciplinary collaboration, optimizes utilization and outcomes, strengthens vendor and internal service delivery models, and drives continuous improvement in participant experience, clinical quality, and cost effectiveness.

The annual pay range for the Director of Home Based Services position at Center for Elders’ Independence is $128,530 to $205,658 per Year. Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEI’s annual compensation review and established compensation practices.

Duties and Responsibilities

• Provides overall leadership and direction for Home Care, Home Health Nursing, and Hospice functions.
• Serves as a key leader within the IDT model, ensuring seamless integration of in-home services with center-based and external care.
• Leads cross-functional initiatives that improve operational efficiency, scalability, and quality of care.
• Ensures all services align with individualized participant care plans developed by the IDT.
• Partners with IDT members, participants, and caregivers to resolve complex care issues and optimize care plans.
• Ensures compliance with all applicable regulatory requirements (CMS, DHCS, California Board of Registered Nursing, and PACE standards).
• Leads quality improvement initiatives focused on clinical outcomes, participant satisfaction, and service reliability and timeliness.
• Monitors and reports key performance indicators, including home health utilization, service delivery timeliness, and participant outcomes.
• Oversees audit readiness, documentation standards, and corrective action planning.
• Manages utilization of home care, home health, and hospice services to ensure appropriate, cost-effective care delivery.
• Oversees departmental budgets, staffing models, and resource allocation.
• Drives strategies to reduce unnecessary utilization while maintaining quality outcomes.
• Monitors and manages contracted vendor performance, ensuring adherence to service, quality, and financial expectations.
• Directly oversees supervisors, coordinators, and clinical staff across home care and home health, as well as overseeing the hospice program.
• Builds a high-performing team through hiring, onboarding, coaching, and performance management.
• Ensures staff competency, training, and adherence to clinical and operational standards.
• Aligns home-based services with organizational goals and participant care needs.
• Oversees resolution of complaints, grievances, and service concerns related to home care, home health, and hospice.
• Ensures timely follow-up, root cause analysis, and implementation of sustainable improvements.
• Develops and maintains policies, procedures, and protocols for all service areas.
• Participates in organizational committees, QI programs, and leadership meetings.
• Maintains confidentiality and compliance with all CEI policies and regulatory requirements.
• Performs other duties as assigned.

Qualifications and Licensure Education & Experience

• Bachelor of Science in Nursing (BSN) required.
• Master’s degree in Nursing, Public Health, Healthcare Administration, or related field preferred.
• Minimum of five (5) years of nursing experience across home health, acute, or community-based care.
• Minimum of five (5) years of progressive leadership experience in clinical operations, home care, or home health.
• Experience working with frail or elderly populations required; PACE experience strongly preferred.

Licensure & Certification

• Active Registered Nurse (RN) license in California, in good standing.
• Current CPR/BLS certification required.
• Valid California driver’s license, insurance, and reliable transportation.

Skills & Competencies

• Strong clinical, operational, and financial management expertise.
• Deep understanding of care coordination, transitions of care, and population health management.
• Demonstrated ability to lead interdisciplinary teams in complex healthcare environments.
• Experience with regulatory compliance and quality improvement programs.
• Proficiency in EMR/EHR systems, data analytics, and Microsoft Office tools.
• Excellent communication, leadership, and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced environment.

Physical, Functional, and Environmental Requirements Physical Requirements

• Ability to sit for extended periods—up to 6–8 hours per day—at a computer workstation in a typical office environment.
• Occasional walking, standing, and light physical activity while attending meetings or conducting site visits at CEI centers or participant homes.
• Occasional lifting, carrying, or handling of materials or equipment weighing up to 20–30 pounds (e.g., laptops, binders, or small office equipment).
• Manual dexterity and fine motor skills required for computer use, phone operation, and other standard office tasks.
• Visual and auditory acuity sufficient to use a computer, participate in virtual and in-person meetings, and communicate clearly.
• Ability to travel between CEI locations and community sites as needed.

Functional Requirements

• Ability to prioritize and manage multiple complex tasks and projects simultaneously.
• Sound clinical judgment and decision-making skills in high-pressure situations.
• Strong attention to detail and accuracy in assessment, documentation, and follow-up.
• Ability to problem-solve and implement effective solutions using critical thinking and evidence-based practices.
• Capacity to supervise and evaluate staff, interpret policy and regulation, and participate in strategic planning.

Environmental Requirements

• Work is performed in various settings including CEI offices, centers, and community environments.
• May be exposed to noise, odors, varying temperatures, and potentially hazardous conditions or equipment when visiting participant residences.
• Occasional exposure to infectious materials or environments requiring adherence to universal precautions and PPE protocols.
• Must be able to adapt to changing priorities and needs of a dynamic healthcare environment.

The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required. CEI reserves the right to change job descriptions, site assignments and/or work hours as required by the needs of the program. All employees are expected to perform their duties within their ability as required by the job and/or as requested by management.