National Director, Concierge Care (RN)

Responsibilities

• Home Health Build, Launch & Expansion (California)
• Lead the build-out, launch, and scale of private-pay home health services in Southern California, with planned expansion into Northern California
• Act as the architect of the service line , designing care models, workflows, and operational infrastructure from the ground up
• Serve as Administrator of Record for the Southern California home health agency, ensuring compliance with all state licensing and regulatory requirements
• Partner with the President to define and execute market entry strategy, growth roadmap, and long-term vision
• Build foundational elements including policies, SOPs, staffing models, and clinical programs aligned with a concierge standard of care
• Drive patient census growth while maintaining premium service quality and clinical outcomes
• National Nurse Registry Oversight
• Provide strategic and operational oversight of the Concierge Nursing Referral Services (CNRS) across all active states
• Evolve and scale the nurse registry model to align with the broader clinical services growth strategy
• Standardize and build upon best practices, quality expectations, and service delivery models across markets
• Partner with regional leaders to drive 1099 clinician engagement, retention, and performance
• Ensure compliance with state-specific nurse registry regulations and mitigate risk
• Clinical Leadership & Quality
• Establish and build clinical quality frameworks and performance standards across both home health and registry service lines
• Stand up QA/PI programs, documentation standards, and audit processes from inception
• Partner with DPCS and clinical leaders to ensure high-quality patient outcomes, documentation integrity, and survey readiness
• Lead and personally support state survey readiness and onsite survey activity , including interfacing directly with surveyors as Administrator
• Drive readiness for state surveys, audits, and potential accreditation processes (e.g., CHAP)
• Team Building & Leadership
• Recruit and build a high-performing interdisciplinary team (RNs, LVNs, therapists, and operational leaders as the model evolves)
• Develop leadership structure and create scalable org design to support growth
• Foster a culture aligned with company values, emphasizing accountability, collaboration, and excellence
• Operations & Growth Enablement
• Partner cross-functionally with sales, marketing, and operations to drive referrals and revenue growth
• Support development of strategic partnerships (e.g., concierge medicine, private physicians, high-net-worth client channels)
• Build scalable infrastructure through technology selection, EMR optimization, and process design
• Monitor financial performance and contribute to budgeting, forecasting, and P&L management

Requirements

• Required
• Active, unrestricted Registered Nurse (RN) license in California
• Eligible to serve as Administrator for a California Home Health Agency (meets Title 22 requirements)
• Minimum 7-10 years of progressive leadership experience in home health, hospice, or related healthcare services
• Demonstrated experience in building or scaling healthcare programs, service lines, or new markets
• Strong knowledge of California home health regulations and compliance requirements
• Proven ability to lead both clinical and operational teams
• Preferred
• Experience in private-pay or concierge care models and home health
• Direct experience launching de novo healthcare operations
• Familiarity with nurse registry models and multi-state regulatory environments
• Experience with accreditation bodies (e.g., CHAP, ACHC, Joint Commission)
• Leadership Profile
• Builder mindset - energized by creating from zero to one and scaling to maturity
• Entrepreneurial operator - comfortable with ambiguity and rapid iteration
• Operationally rigorous - able to translate vision into structure, systems, and accountability
• Clinically credible - earns trust with clinicians and drives quality outcomes
• Relationship-driven - builds strong internal and external partnerships
• Results-oriented - balances growth with exceptional service delivery
• Location & Travel Expectations
• Based in the Los Angeles area
• Regular travel to Palm Desert, CA required during initial build, licensing, and survey readiness phases
• Ability to operate in a hybrid environment , balancing onsite leadership with remote oversight across markets
• Flexibility to travel as needed to support Northern Cali

Benefits

Additional Information

For nearly 20 years, TheKey has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care. Ensuring the dignity, safety, and independence of its clients, TheKey is committed to changing how the world lives and ages at home. Employee-teams get the training, resources, and support they need to deliver an exceptional care experience for clients and their families. Founded in Silicon Valley, TheKey has grown from a single location to service coverage throughout North America enabling clients to live life on their own terms, in their own homes.

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