Rochelle Park, New Jersey, United States · On-site
$120k–$130k/yr
Senior
Clinical Executive Director – Pediatrics (RN) Location: Rochelle Park, NJ Travel Required: New York (Manhattan & Long Island) and Connecticut Offices Salary: $120,000–$130,000 annually (Based on experience) Join Our Grow…
Skills: Clinical Leadership, Pediatric Home Care, Case Management, Regulatory Compliance, Quality Assurance
Join Our Team! Now Hiring Registered Nurses (RN) at Affirmed Home Care! ALL 5 BOROUGHS OF NEW YORK CITY Location: New York (Home Care Setting) Company: Affirmed Home Care – A Premier Provider of Compassionate In-Home Car…
Skills: Client Assessment, Medication Administration, Wound Care, IV Therapy, Catheter Care
Franklin Lakes, New Jersey, United States · On-site
$39/hr–$41/hr
Mid level
Pediatric Registered Nurse (RN) – Evening & Weekend Shifts (Franklin Lakes, NJ) Location: Franklin Lakes, NJ Setting: Pediatric Private Duty Nursing Company: Affirmed Home Care Position Overview Affirmed Home Care is see…
Skills: Pediatric Nursing, Clinical Monitoring, Patient Documentation, Family-Centered Care, Infection Control
Town of Lewisboro, New York, United States · On-site
$21/hr–$21/hr
Entry level
Now Hiring: Certified Home Health Aides (HHAs) – Westchester, NY $21/hour • Flexible Day Shifts • Weekly Pay • Quick Placement Drivers Strongly Preferred for Westchester Cases Are you a compassionate and reliable HHA loo…
Skills: Personal Care, Daily Living Activities, Medication Reminders, Meal Preparation, Light Housekeeping
Certified Home Health Aides (HHAs) – Westchester, NY $21/hour • Flexible Day Shifts • Weekly Pay • Quick Placement Drivers Strongly Preferred for Westchester Cases Are you a compassionate and reliable HHA looking for fle…
Skills: Personal Care, Daily Living Activities, Medication Reminders, Meal Preparation, Light Housekeeping
Make a Real Difference with One-on-One Nursing Care! Join Affirmed Home Care – Connecticut’s Premier Concierge Home Care Agency We’re looking for Per Diem Registered Nurses (RNs) to join our compassionate, high-performin…
Skills: Acute Care Nursing, One-on-one Patient Care, Complex Care Management, Patient Safety, Home Health Care
Make a Real Difference with One-on-One Nursing Care Join Affirmed Home Care – Connecticut’s Premier Concierge Home Care Agency Affirmed Home Care is seeking experienced Per Diem Licensed Practical Nurses (LPNs) to join o…
Skills: Skilled Nursing Care, Patient Relationship Management, Acute Care, Home Care, Clinical Expertise
Registered Nurse (RN) – Per Diem Opportunities in Bridgeport, CT Ready to take control of your schedule while earning competitive pay? Affirmed Home Care is seeking experienced Registered Nurses to provide exceptional on…
Skills: Pediatric Nursing, Patient Care, Acute Care, Home Care, BLS Certification
Registered Nurse (RN) – Per Diem Opportunities in Bridgeport, CT Ready to take control of your schedule while earning competitive pay? Affirmed Home Care is seeking experienced Registered Nurses to provide exceptional on…
Skills: Patient Care, Acute Care, Home Care, Clinical Nursing, BLS Certification
Make a Real Difference with One-on-One Nursing Care $40/Hour • Weekly Pay • Flexible Scheduling Join Affirmed Home Care – Connecticut's Premier Concierge Home Care Agency Affirmed Home Care is seeking experienced License…
Skills: Skilled Nursing Care, Patient Care, Clinical Excellence, Compassionate Care, Case Management
Per Diem CNAs / HHAs – Fairfield County, CT Competitive Pay • Weekly Pay • Sign-On Bonus • Fast Case Placement Day & Overnight Shifts Available Now Looking for rewarding one-on-one care opportunities? Join Affirmed Home …
Skills: Personal Care, Activities Of Daily Living, Medication Reminders, Meal Preparation, Light Housekeeping
Home Health Aide (CHHA) – Normandy Beach, NJ 08735 Starting at $19/hour | Weekly Pay Every Friday | Consistent Weekday Hours Affirmed Home Care is hiring compassionate and dependable Certified Home Health Aides (CHHAs) f…
Skills: Bathing, Grooming, Personal Hygiene, Companionship, Meal Preparation
Town of Smithtown, New York, United States · On-site
Mid level
Registered Nurse (RN) – Home Care Location: Suffolk County, NY Setting: In-Home Geriatric Care Organization: Affirmed Home Care Advance Your Nursing Career with Personalized Home Care Affirmed Home Care is seeking compas…
Skills: Geriatric Care, Clinical Care, Patient Relationship Management, Acute Care Nursing, One-on-one Patient Care
Certified Home Health Aide (HHA) – Per Diem Hempstead, NY | Nassau County $19.65/Hour | Flexible Scheduling | Weekly Pay | Immediate Openings Drivers are strongly encouraged to apply! Affirmed Home Care is actively seeki…
Skills: Activities Of Daily Living (ADLs), Personal Care, Grooming, Hygiene Assistance, Medication Reminders
Pediatric RN – Flexible Home Care Opportunities (Jersey City, NJ) Affirmed Home Care is seeking compassionate and skilled Registered Nurses (RNs) to join our growing Pediatric Division in Jersey City, NJ. We have multipl…
Skills: Pediatric Nursing, One-on-One Patient Care, BLS Certification, Patient Safety, Home Health Care
Make a Real Difference with One-on-One Nursing Care $55/Hour • Weekly Pay • Flexible Scheduling Join Affirmed Home Care – Connecticut's Premier Concierge Home Care Agency Affirmed Home Care is seeking experienced Registe…
Skills: Skilled Nursing Care, Patient Care, Clinical Excellence, Case Management, Compassionate Care
Town of Brookhaven, New York, United States · On-site
$19/hr–$20/hr
Mid level
Certified Home Health Aides (CHHAs) Wanted – Start Working Immediately Are you a dedicated CHHA looking for reliable work, flexible scheduling, and a company that truly values your contributions? Affirmed Home Care is ac…
Skills: Personal Care, Daily Activity Assistance, Companionship, Emotional Support, Meal Preparation
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$120k–$130k/yr
Full-time
professional certificate
Paid Time Off, Health Insurance, Dental Insurance, Vision Insurance, 401(k) With Company Match
Posted 1d ago
Apply by Sep 25
~40 hrs/week
Responsibilities
Lead pediatric clinical operations across NJ, NY, and CT, overseeing skilled nursing teams and managing high-acuity VIP cases. Ensure regulatory compliance, manage insurance authorizations, and drive quality assurance through QAPI initiatives.
Requirements
Requires an active Registered Nurse (RN) license and preferably over 5 years of pediatric home care leadership experience. Must be able to travel between regional offices and be flexible for occasional evening and weekend support.
Full job description
Clinical Executive Director – Pediatrics (RN)
Location: Rochelle Park, NJ Travel Required: New York (Manhattan & Long Island) and Connecticut Offices Salary:$120,000–$130,000 annually (Based on experience)
Join Our Growing Pediatric Division!
Affirmed Home Care, a premier concierge private-pay home care agency, is expanding our Pediatric Division and is seeking an experienced, dynamic, and motivated Clinical Executive Director (RN) to lead pediatric clinical operations across New Jersey, New York, and Connecticut.
This is an exciting opportunity to join our leadership team and help shape one of the region's premier pediatric home care programs. The ideal candidate is an experienced Registered Nurse leader who is passionate about pediatric home care, operational excellence, quality outcomes, and developing high-performing clinical teams.
This position is based in Rochelle Park, New Jersey, with regular travel to our Manhattan, Long Island, and Connecticut offices to provide clinical leadership, operational oversight, staff development, and support continued growth throughout the Pediatric Division.
The Clinical Executive Director will oversee pediatric clinical operations, supervise skilled nursing teams, manage high-acuity and VIP pediatric cases, ensure regulatory compliance, and partner with leadership to deliver exceptional patient and family-centered care.
Requirements
Active Registered Nurse (RN) license
5+ years of pediatric home care leadership experience preferred
Ability to travel between NJ, NY, and CT offices
Flexibility to support occasional evenings and weekends as business needs require
Key Responsibilities Clinical Leadership & Team Oversight
Lead the Pediatric portion of daily stand-up meetings; collect and present updates from staff unable to attend
Provide nursing updates during team huddles, with emphasis on high-revenue and skilled nursing case needs
Provide direction, competency, coaching, and real-time problem-solving support to nursing team members
Provide immediate support for urgent clinical or operational matters
Clinical Operations & Case Management
Oversee both caregiver and skilled nursing pediatric cases to ensure service excellence
Provide hands-on clinical support for cases designated as VIP priority
Ensure all assessments, start of care visits, and routine visits are completed as scheduled
Monitor nursing staff compliance with visit requirements and ensure corresponding progress notes are completed
Ensure nurses are scheduled to be a at start of cares and needed visits
Manage a caseload of pediatric client’s along with supervising and supporting NY and CT pediatric nurses.
Documentation & Regulatory Compliance
Ensure timely completion and accuracy of clinical documentation, including:
485s (Plans of Care)
IPOs (Interim Physician Orders)
Assessments and visit notes
Ensure corrections are completed promptly in response to compliance or QA review
Ensure supervisions and reports are being provided to staff
Review start of care and discharge documentation for completeness and compliance
Conduct regular self-audits of clinical charts to ensure adherence to DOH standards and agency policy
Manage and track all insurance authorizations, reauthorizations, and Single Case Agreements (SCAs) to ensure uninterrupted patient services.
Monitor authorization utilization and proactively initiate renewals prior to expiration to prevent gaps in care.
Coordinate with physicians, hospitals, discharge planners, case managers, and insurance representatives to obtain and maintain required approvals.
Prepare, complete, and submit Letters of Medical Necessity (LMNs) and all supporting clinical documentation required for authorization requests, appeals, and continued service approvals.
Review physician orders, Plans of Care (485s), Interim Physician Orders (IPOs), nursing assessments, and visit documentation to ensure medical necessity is accurately supported.
Collaborate with clinical leadership and field staff to obtain updated assessments, physician documentation, and supporting records necessary for payer approval.
Maintain accurate tracking logs for Medicaid, Medicare, Managed Medicaid, commercial insurance authorizations, and Single Case Agreements, ensuring all expiration dates, renewal timelines, and payer requirements are met.
Coordinate recertification documentation and ensure all required clinical records are completed, signed, and submitted within payer and regulatory timeframes.
Prepare and organize documentation for Medicare, Medicaid, Managed Care, Department of Health (DOH), Recovery Audit Contractor (RAC), Unified Program Integrity Contractor (UPIC), and other payer or regulatory audits.
Respond to payer requests for additional documentation, medical records, and audit inquiries within established deadlines.
Conduct routine documentation reviews to verify that nursing notes, assessments, supervisory visits, physician orders, and Plans of Care support ongoing medical necessity and reimbursement.
Identify documentation deficiencies and work directly with nursing staff and providers to obtain corrections prior to claim submission or audit review.
Monitor payer policy updates, Medicare Conditions of Participation, Medicaid regulations, and managed care requirements, ensuring agency compliance with reimbursement guidelines.
Develop and maintain reports tracking authorization status, pending renewals, audit requests, denials, appeals, and reimbursement trends.
Participate in Quality Assurance (QA/QAPI) meetings by identifying documentation trends, authorization issues, denial patterns, and opportunities for process improvement.
Educate clinical staff on documentation standards that support medical necessity, reimbursement, recertification, and regulatory compliance.
Collaborate with Billing, Compliance, Clinical Operations, Intake, Scheduling, and Physician Offices to facilitate efficient authorization and reimbursement workflows.
Assist with payer appeals by gathering supporting documentation, preparing appeal packets, and coordinating physician involvement when necessary.
Ensure all documentation complies with Medicare, Medicaid, payer-specific, state, federal, accreditation, and agency requirements
Operational Oversight
Manage on-call schedules and review on-call logs to ensure appropriate coverage and follow-up for NY and CT pediatric cases
Collaborate with interdisciplinary teams (scheduling, compliance, HR) to ensure continuity of care and operational efficiency
Coordinate and schedule nursing staff for orientation, ensuring all required competencies and training requirements are completed in accordance with agency standards
Monitor and address nursing-related issues during off-hours through email and remote communication to ensure continuity of operations
Provide coverage support for staffing gaps, ensuring uninterrupted patient care services
Manage a designated caseload of Pediatric clients, ensuring a high level of service quality and client satisfaction
Participate in and support the initiation (start of care) for VIP and high-acuity/high-tech pediatric cases as needed
Assist with performance management, including disciplinary actions and corrective measures for Pediatric nursing staff in collaboration with leadership
Serve as an advocate for Pediatric nursing staff, promoting team cohesion, engagement, and a positive work environment
Perform additional duties and responsibilities as assigned to support clinical operations and organizational goals
Why Join Affirmed Home Care?
Competitive Compensation
$130,000 – $150,000 annually (Compensation based on experience)
Comprehensive Benefits
Generous PTO
Health, dental, and vision insurance
401(k) with company match
Career Growth
Leadership development opportunities
Advancement within a growing organization
Supportive Culture
Collaborative, team-oriented environment
A company committed to excellence, compassion, and quality care
Apply Today
Ready to take the next step in your nursing leadership career?
Submit your resume today and join a company that values professional growth, clinical excellence, and compassionate care.
Affirmed Home Care is an Equal Opportunity Employer.
Related keywords
Registered NursePediatricsHome CareClinical OperationsQAPIDOH Standards485 Plans of CareInterim Physician OrdersSingle Case AgreementsLetters of Medical NecessityMedicareMedicaidManaged CareRAC AuditUPIC AuditInfection Control
At Affirmed Home Care we believe in the philosophy of “compromise nothing”
Our mission is to support the health and well-being of our clients by delivering the finest personalized in-home care, specific to their needs, wants and preferences. Our goal is to provide exceptional client centered care with a quality team to achieve excellent outcomes.
Offices: New York, New York 10036, US
Health CareElder CareHome Health CareNursing and Residential Care
At Affirmed Home Care we believe in the philosophy of “compromise nothing”
Our mission is to support the health and well-being of our clients by delivering the finest personalized in-home care, specific to their needs, wants and preferences. Our goal is to provide exceptional client centered care with a quality team to achieve excellent outcomes.
Offices: New York, New York 10036, US
Health CareElder CareHome Health CareNursing and Residential Care