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Jobs at Affirmed Home Care (Now Hiring) — 52 open

Affirmed Home Care logoAffirmed Home Care

Clinical Executive Director

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

Affirmed Home Care logoAffirmed Home Care

Per Diem Registered Nurse RN

New York, New York, United States · On-site

$55/hr–$60/hr

Entry level

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

Affirmed Home Care logoAffirmed Home Care

LPN- Pediatric Case

Franklin Lakes, New Jersey, United States · On-site

$35/hr–$38/hr

Mid level

Pediatric Licensed Practical Nurse (LPN) – Evening & Weekend Shifts (Franklin Lakes, NJ) Location: Franklin Lakes, NJ Setting: Pediatric Private Duty Nursing Company: Affirmed Home Care Position Overview Affirmed Home Ca…

Skills: Pediatric Nursing, Clinical Monitoring, Patient Documentation, Infection Control, Family-Centered Support

Affirmed Home Care logoAffirmed Home Care

Pediatric RN- Home 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

Affirmed Home Care logoAffirmed Home Care

Home Health Aide HHA

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

Affirmed Home Care logoAffirmed Home Care

Pediatric LPN- Home Care

Gloucester City, New Jersey, United States · On-site

$35/hr–$38/hr

Mid level

Pediatric Licensed Practical Nurse (LPN) – Day, Evening & Overnight Shifts (Camden, NJ) Location: Camden, NJ Setting: Pediatric Private Duty Nursing Company: Affirmed Home Care Position Overview Affirmed Home Care is see…

Skills: Pediatric Nursing, Clinical Monitoring, Patient Documentation, Infection Control, 1:1 Patient Care

Affirmed Home Care logoAffirmed Home Care

Home Health Aide HHA

North Castle, New York, United States · On-site

$21/hr–$21/hr

Entry level

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

Affirmed Home Care logoAffirmed Home Care

Pediatric RN

Camden, New Jersey, United States · On-site

$39/hr–$41/hr

Mid level

Pediatric Registered Nurse (RN) – Day, Evening & Overnight Shifts (Camden, NJ) Location: Camden, NJ Setting: Pediatric Private Duty Nursing Company: Affirmed Home Care Position Overview Affirmed Home Care is seeking comp…

Skills: Pediatric Nursing, Clinical Monitoring, Patient Documentation, Infection Control, 1:1 Patient Care

Affirmed Home Care logoAffirmed Home Care

Registered Nurse (RN)

New London, Connecticut, United States · On-site

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Licensed Practical Nurse (LPN)

New London, Connecticut, United States · On-site

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Registered Nurse (RN)

Bridgeport, Connecticut, United States · On-site

$55/hr–$60/hr

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Registered Nurse (RN)

Bridgeport, Connecticut, United States · On-site

$55/hr–$60/hr

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Licensed Practical Nurse (LPN)

Norwalk, Connecticut, United States · On-site

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Certified Nurse Assistant (CNA)

Stamford, Connecticut, United States · On-site

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Home Health Aide

Toms River, New Jersey, United States · On-site

Entry level

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

Affirmed Home Care logoAffirmed Home Care

Home Health Registered Nurse (RN)

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

Affirmed Home Care logoAffirmed Home Care

Home Health Aide

Hempstead, New York, United States · On-site

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Pediatric RN- 1:1

Jersey City, New Jersey, United States · On-site

$39/hr–$41/hr

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Registered Nurse (RN)

Norwalk, Connecticut, United States · On-site

Mid level

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

Affirmed Home Care logoAffirmed Home Care

Home Health Aide

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

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Showing 1–20 of 52

Affirmed Home Care logo

Clinical Executive Director

Affirmed Home Care

Rochelle Park, New Jersey, United States • On-site

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Senior

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  • $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

Quality Assurance & Performance Improvement (QAPI)
  • Participate in Quality Assurance (QA/QAPI) meetings and initiatives
  • Review overdue and upcoming assessments to ensure compliance with regulatory timelines
  • Monitor infection control reporting and ensure timely submission by nursing staff
  • Ensure incident reports are completed, reviewed, and escalated appropriately
  • Track and trend documentation, compliance, and performance issues, implementing corrective actions as needed

Education & Staff Development
  • Participate in and/or oversee orientation for new nursing staff
  • Support ongoing competency validation and clinical education initiatives
  • Assist in the vetting and evaluation of pediatric staff to ensure clinical competency and alignment with agency standards

Reimbursement, Authorizations & Clinical Documentation Responsibilities
  • 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

About Affirmed Home Care

LinkedInVisit site

Compromise Nothing

Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
2019
Headquarters
New York, New York
LinkedIn followers
1,788

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
View all jobs at Affirmed Home Care

About Affirmed Home Care

LinkedInVisit site

Compromise Nothing

Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
2019
Headquarters
New York, New York
LinkedIn followers
1,788

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
View all jobs at Affirmed Home Care

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