Director of Nursing

Registered NurseFull-Time

Listed compensation

$110K

The week · per this posting

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago

Job Description

Clinical Director – Lead the Growth of Our Home Health Division

Always Best Care Senior Services | Vacaville, California

Help Build Something Extraordinary

Have you ever wanted the opportunity to build and grow a Medicare-certified Home Health agency instead of simply stepping into one that's already established?

This is a rare opportunity to become the clinical leader of a growing Home Health division while working alongside an established senior care organization that has proudly served Solano and Napa Counties for nearly a decade.

Always Best Care Senior Services has been recognized as Solano's Best Home Care Agency for three consecutive years, and we're now focused on building an exceptional Home Health department that delivers outstanding clinical care, develops strong community partnerships, and becomes a trusted resource for patients, families, hospitals, and physicians.

We're looking for a Clinical Director who wants more than a job. We're looking for someone who wants to help build a department, create systems, mentor clinicians, and make a lasting impact on the future of our organization.

If you've ever thought...

"If I had the opportunity to build a Home Health department the right way..."... this is that opportunity.

About Always Best Care

Always Best Care Senior Services is a locally owned healthcare organization providing:

  • Medicare-Certified Home Health
  • Non-Medical Home Care
  • Care Coordination
  • Senior Placement Services

Our unique continuum of care allows us to support patients through every stage of aging while providing exceptional service to physicians, hospitals, skilled nursing facilities, and families throughout Solano and Napa Counties.

Position Summary

The Clinical Director serves as the clinical leader of our growing Home Health division.

This role combines clinical leadership, quality assurance, compliance, operations, and strategic growth. In the early stages, you'll have the opportunity to wear multiple hats, helping establish workflows, strengthen clinical programs, support referral development, mentor clinicians, and build a department designed for long-term success.

As our Home Health division grows, you'll play a key role in shaping the team, developing future leaders, and expanding clinical services throughout our community.

This is an excellent opportunity for a clinician who enjoys building programs, solving problems, leading teams, and creating systems that improve patient care.

Compensation

  • Base salary of $110,000 plus benefits
  • Quarterly bonuses based on census growth, quality metrics and strategic initiatives
  • Annual merit increases based on leadership, quality and department growth
  • Salary progression as the department and leadership responsibilities expand

What You'll Do

Clinical Leadership

  • Lead all clinical operations of the Home Health department
  • Maintain compliance with Medicare Conditions of Participation and state regulations
  • Ensure survey readiness and regulatory compliance

Quality & Compliance

  • Oversee clinical documentation and quality assurance
  • Review OASIS documentation and care plans
  • Support performance improvement initiatives

Department Growth

  • Help build and grow the Home Health division
  • Develop clinical workflows and best practices
  • Mentor and support clinicians
  • Collaborate with leadership on strategic planning

Operational Collaboration

  • Partner with scheduling, billing, marketing, and administrative teams
  • Strengthen relationships with physicians, hospitals, and referral partners
  • Help create an exceptional patient and employee experience

What We're Looking For

We're Looking for Someone Who Is

  • Passionate about patient care
  • Excited to build something meaningful
  • Positive and solutions-oriented
  • Organized and highly accountable
  • Comfortable wearing multiple hats in a growing organization
  • A confident clinical leader who enjoys mentoring others
  • Able to think strategically while remaining hands-on when needed

Qualifications

  • Current California RN or Physical Therapist license
  • Home Health leadership experience preferred
  • Experience with Medicare regulations and compliance
  • WellSky experience preferred
  • Strong communication and leadership skills
  • Experience with audits, surveys, and quality assurance
  • Ability to work collaboratively across departments

Why Join Always Best Care?

This isn't just another Clinical Director position.

It's an opportunity to become one of the founding clinical leaders of a rapidly growing Home Health division.

Here, your ideas matter.

Your leadership matters.

Your ability to build systems, mentor clinicians, improve patient outcomes, and help grow the department will have a direct impact on the future of our organization.

As our Home Health department expands, you'll have opportunities to grow professionally, take on additional leadership responsibilities, and help shape the future of one of Northern California's premier Home Health providers.

If you're looking for a place where you can build, lead, innovate, and make a lasting difference—we'd love to meet you.

Key Responsibilities

The Clinical Director will lead all clinical operations, ensure regulatory compliance, and oversee quality assurance for the Home Health division. They will also focus on building clinical workflows, mentoring staff, and collaborating with leadership to drive strategic growth.

Qualifications

Experience
5+ years of experience

Key Skills

Medicare complianceStaff mentoringHome health operationsTeam buildingCommunication skillsAudit managementCare planning

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Director of Nursing at Always Best Care Senior Services- Napa Solano a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% of all Home Health registered nurse listings evaluated on our platform.

Home Health — Registered Nurse Career Context

Of the 48 active Nursing Leadership listings this role was benchmarked against, 35% are remote, 60% have no call, 77% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$110k midpoint carries the purchasing power of roughly $99k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Registered Nurse Jobs

22 matches · ranked by pay

Salary Distribution22 jobs · 19 employers

8
<$100k
4
$100k-115k
7
$115k-130k
1
$131k
2
$145k+

Annual compensation range

Benefits & Perks18 jobs

401k / retirement match
94%
Sign-on bonus
28%
CME allowance
28%
Loan repayment
11%

Share of similar jobs offering each benefit

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$93k-$151k
#2

Director of Nursing & Clinical Operations

Atulo Health · San Jose, California

$100k-$150k
#3

Director of Nursing

up to $131,000
#4

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+ 20 more · ranked by pay

Work-life snapshot

6.6/ 10
Listing-based score

Living in Vacaville

Typical 3-bedroom home value
$558k≈ 5.1× annual pay
Typical market rent
$2,614/mo≈ 29% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
108.5
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Vallejo, CA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Always Best Care Senior Services- Napa Solano logo

About Always Best Care Senior Services- Napa Solano

Home Health Care Services
Vacaville, CA

Benefits & Perks

Quarterly bonuses based on census growth, quality metrics and strategic initiatives
Annual merit increases based on leadership, quality and department growth
Salary progression as the department and leadership responsibilities expand