Director of Nursing

Full job description

About Us Breakthrough Healthcare is a nurse-founded, privately owned agency rooted in the St. Louis community. Our founder has 28 years of nursing experience and an MBA, which means we balance clinical excellence with professional stability. We don’t just provide home health; we provide peace of mind to the families we serve.

The Role We are seeking a DON who is tired of the corporate "red tape" and wants to make a real impact. You will be the clinical heartbeat of our agency, working directly with the Founder/Administrator to ensure our patients receive the highest standard of care while our nursing staff feels mentored and supported.

Key Priorities

• Lead with Heart: Supervise and coach our nursing team, fostering a collaborative and positive environment.
• Clinical Excellence: Oversee OASIS accuracy, care plans, and Medicare compliance with a keen eye for detail.
• Growth & Strategy: Partner with leadership to refine policies and support our expansion in the St. Louis region.

Professional & Education

• Active RN License: Must hold a current Registered Nurse license in Missouri or a compact state.
• Advanced Experience: Minimum of two (2) years of management or supervisory experience in a Medicare-certified Home Health setting (this is non-negotiable).
• Regulatory Mastery: Demonstrated expertise in Medicare Conditions of Participation (CoPs), OASIS accuracy, and state/federal home health regulations.
• Clinical Skillset: Proficiency in caring for the geriatric population, including complex wound care and chronic disease management.
• Minimum Education: Bachelor of Science in Nursing (BSN) required.
• Preferred Education: Master of Science in Nursing (MSN) or Master of Business Administration (MBA) with a clinical focus.
• Professional Goal: A leader who, like our founder, values lifelong learning and advanced clinical practice.

Operational & Leadership

• Documentation Accountability: Proven ability to monitor and enforce strict clinical documentation standards, specifically ensuring contemporaneous charting within a 24-48 hour window.
• Staff Oversight: Experience in recruiting, orienting, and conducting performance evaluations that prioritize both clinical excellence and empathetic patient care.
• Quality Improvement (QAPI): Experience participating in program analysis, effectiveness appraisals, and implementing corrective action plans based on audit findings.
• Communication: Exceptional oral and written skills with a professional demeanor suitable for interacting with physicians, referral sources, and families.

Physical & Environmental

• Mobility: Ability to travel to various patient home environments, which may vary in cleanliness or temperature, and perform clinical duties with or without reasonable accommodation.
• Dexterity: Sufficient manual dexterity to operate Electronic Medical Record (EMR) systems (Axxess) and other related office/clinical equipment.

• Sign-on Bonus
• 401K 3% Discretionary Match
• Paid Time Off
• Training & Development
• Performance Bonus
• Health, Vision, Dental Insurance
• Jury Duty Pay
• Bereavement
• Daily Pay options
• Employee Discount Program
• AAA Membership