Assistant Director of Nursing

Assistant Director of Nursing (ADON)

BrightStar Care

Position Summary

The Assistant Director of Nursing (ADON) is a primarily field-based clinical leadership position responsible for promoting high-quality patient care, ensuring regulatory compliance, and providing clinical guidance and support to nursing staff. The ADON plays a key role in overseeing clinical services, addressing patient care needs, and maintaining compliance with physician orders, agency policies, and applicable state and federal regulations.

The ADON is expected to complete 2–5 field visits per day, depending on patient census, agency needs, physician orders, and the complexity of care required.

Primary Responsibilities

• Complete 2–5 field visits daily based on patient census, clinical priorities, and agency needs.


• Perform nursing assessments, supervisory visits, skilled nursing visits, emergency visits, medically necessary home visits, reassessments, and other clinical visits as assigned.


• Ensure clinical services are delivered in accordance with physician orders, agency policies, and applicable state and federal regulations.


• Provide clinical leadership, mentoring, education, and support to nursing staff.


• Respond promptly to urgent patient care concerns and assist with clinical problem-solving and care coordination.


• Review and complete required clinical documentation accurately and within established timeframes.


• Collaborate with physicians, referral sources, patients, caregivers, and interdisciplinary team members to promote continuity of care.


• Assist with clinical operations, quality assurance, and other nursing leadership responsibilities as needed.


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Office Expectations

This position is designed to be primarily field-based. The ADON is expected to spend no more than one (1) day per week in the office, not to exceed ten (10) office hours per week.

Office attendance and administrative responsibilities may be adjusted based on patient census, staffing needs, urgent clinical matters, and other operational requirements.

Compensation & Visit Rates

Compensation Notes:

• Visit rates are based on the visit type and applicable schedule listed above.


• Mileage is included for the visit types identified in the compensation schedule.


• Any additional compensation arrangements, benefits, or employment terms will be discussed during the interview process.

Standard BrightStar Visit       $70.00 per visit              Up to 2 hours, including documentation

Medically Home –(Weekday)             $115.00 per visit      Mileage included

Medically Home –(Weekend)               $130.00 per visit            Mileage included

Position Expectations

The successful candidate must demonstrate strong clinical judgment, leadership abilities, organizational skills, and the ability to work independently in a home health care environment. Flexibility, responsiveness, and a commitment to quality patient care are essential to success in this role.

The ADON must be able to manage competing clinical priorities, maintain accurate documentation, and provide dependable support to patients, families, and nursing staff while meeting the agency's operational and regulatory requirements.