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Job description
Clinical Executive Director – Pediatrics (RN)
Location: Rochelle Park, NJ
Travel: Manhattan, Long Island & Connecticut
Salary: $120,000–$130,000 per year, based on experience
Join Our Growing Pediatric Division!
Affirmed Home Care, a premier concierge private-pay home care agency, is seeking an experienced Clinical Executive Director (RN) to lead and oversee pediatric clinical operations across New Jersey, New York, and Connecticut .
This is a key leadership opportunity for an experienced RN who is passionate about pediatric home care, clinical excellence, high-acuity care, regulatory compliance, and developing strong nursing teams .
Key Responsibilities
Lead and oversee pediatric clinical operations across NJ, NY, and CT.
Supervise and support pediatric RNs and LPNs while providing clinical guidance and real-time problem solving.
Manage a designated caseload of pediatric clients, including VIP, high-acuity, and high-tech cases.
Provide hands-on clinical leadership for start-of-care visits, assessments, supervisory visits, and discharges.
Ensure timely and accurate completion of Plans of Care (485s), physician orders, assessments, visit notes, and other clinical documentation .
Conduct chart reviews and self-audits to ensure compliance with DOH, Medicare, Medicaid, managed care, and agency standards .
Oversee insurance authorizations, reauthorizations, Single Case Agreements (SCAs), and Letters of Medical Necessity (LMNs) to support continuity of care.
Monitor authorization utilization and proactively address renewals, documentation deficiencies, denials, and appeals.
Participate in QA/QAPI initiatives and identify opportunities to improve clinical quality, documentation, compliance, and reimbursement.
Support nursing orientation, competency validation, education, coaching, and performance management.
Collaborate with Billing, Compliance, Intake, Scheduling, HR, physicians, hospitals, and insurance representatives.
Manage pediatric on-call coverage and help address staffing and clinical needs during off-hours when necessary.
Support recruitment, evaluation, and development of high-performing pediatric nursing teams.
Travel regularly between NJ, NY, and CT offices as needed.
Requirements
Active Registered Nurse NJ (RN) license
5+ years of pediatric home care leadership experience preferred
Strong knowledge of pediatric home care, clinical documentation, and regulatory requirements
Experience with Medicaid, Medicare, managed care, authorizations, and payer requirements
Strong leadership, communication, organization, and problem-solving skills
Ability to manage multiple priorities in a fast-paced environment
Willingness to travel between NJ, NY, and CT
Flexibility to support occasional evenings and weekends as needed
Why Join Affim…
Competitive salary: $120,000–$130,000
Health, dental, and vision insurance
401(k) with company match
Generous PTO
Leadership and career growth opportunities
Collaborative, team-oriented environment
Opportunity to help build and shape a growing pediatric division
Affirmed Home Care is an Equal Opportunity Employer.
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Worksite address
rochelle park, NJ, 07662, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.