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Valley Regional
Fresno, California

Home Health Director of Nursing (DON)

Registered NurseFull-Time

Listed compensation

$120k-$135k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Director of Nursing Reports To: Director of Patient Care Services

Job Description Summary

A Director of Nursing, or Nursing Director oversees and is responsible for ensuring that patient care is coordinated and managed appropriately. A Director of Nursing, or Nursing Director is responsible for ensuring that care and services are delivered appropriately as well as the supervision of clinical personnel.

A Director of Nursing, or Nursing Director oversees the nursing staff and overall nursing operations of the home health. Their duties include evaluating and directing all nursing employees, establishing goals for the nursing department and creating and enforcing compliant healthcare policies.

Essential Job Functions/Responsibilities

Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs. Assigns appropriate clinicians to case.

Reviews and evaluates each case by reviewing the services provided by clinicians, conferences, record review, discussed and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate.

  • Reviews patient’s clinical diagnosis, medications, procedures and clinical course.
  • Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care.
  • Attends case conference meetings with organization personnel to facilitate coordination of care.

Conducts quarterly record reviews and communicates findings and recommendations to Director of Patient Care Services and appropriate organization personnel.

Assists in the screening and interviewing process of new organization personnel and makes recommendations for employment of individuals. Assists in the orientation of new organization personnel.

Assists Director of Patient Care Services in the planning, implementation and evaluation of in-service and continuing education programs.

Assists in the formulation, revision, implementation, and evaluation of policies and procedures, as well as strategic goals and objectives.

  • Complies with accepted professional standards and principles.
  • Participates in public relation and community activities that promote the Organization’s role as an effective member of the health care delivery system.
  • Promotes customer service orientation to all organization personnel.
  • Performs other duties and activities as delegated by the Director of Patient Care Services.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

Position Qualifications

1. Registered nurse with current licensure to practice professional nursing in the state.

3. Two years management or supervisory experience within the past five years in a home health agency, primary care clinic, or health facility, unless the individual has been previously approved for such employment by a program flexibility issued for the individual’s current position at the home health agency prior to April 1, 1995.

4. Knowledge and expertise in clinical decision-making and Quality Management review and evaluation.

5. Complies with accepted professional standards and practice.

6. Complies and maintains current CPR certification

7. Demonstrates excellent observation, verbal and written communication skills.

Key Responsibilities

The Director of Nursing oversees nursing operations, coordinates patient care, and supervises clinical personnel to ensure quality service delivery. They are responsible for enforcing healthcare policies, managing staff performance, and facilitating case conferences.

Requirements

Candidates must be a Registered Nurse with current state licensure and at least two years of management or supervisory experience in a home health or clinical setting. Proficiency in clinical decision-making, quality management, and current CPR certification are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Nursing supervisionPatient care coordinationStaff evaluationPolicy enforcementCase managementClinical record reviewStaff orientationHealthcare complianceStrategic planningRegistered nursing

Home Health Nursing — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 28% are remote, 52% have no call, 76% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$128k midpoint carries the purchasing power of roughly $115k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Valley Regional holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 72/100, 4 active listings.

Top Registered Nurse Jobs

29 matches · ranked by pay

Salary Distribution29 jobs · 22 employers

11
<$105k
7
$105k-125k
7
$125k-145k
3
$145k-165k
1
$165k

Annual compensation range

Benefits & Perks23 jobs · 22 employers

401k / retirement match
96%
Sign-on bonus
17%
CME allowance
17% this job
Loan repayment
9%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Director of Nursing DON - Acute Inpatient Mental Health 264

Telecare · Shelton, Washington

$144k-$165k
#2

Clinical Nurse Educator III, Neonatal ICU

Sutter Health · Sacramento, California

$108k-$151k
#3

Asst. Director of Nursing - Ambulatory Care - Newkirk Avenue

$136,708 - $150,000
#4

Director of Nursing

$128k-$146k
+ 27 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

Living in Fresno

Typical 3-bedroom home value
$380k≈ 3.2× annual pay
Typical market rent
$1,941/mo≈ 19% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
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 · Fresno, CA metro prices. Housing figures are city-level.

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