Home Health Executive Director

Company: Natick Walpole VNA
Location: Walpole
Posted on: January 15, 2026

Job Description:

Job Description Mission Natick Walpole VNA is committed to a traditional, yet innovative approach of providing highly skilled compassionate home health care to the communities it serves. The agency continually strives to be responsive to patient and community needs, to promote healthy lifestyles, and facilitate independence and resourcefulness to enable people to remain in their own homes, thereby enhancing their quality of life. Job Summary The Executive Director provides overall leadership and strategic direction for NWVNA. This position is responsible for ensuring the delivery of high-quality, compliant, and cost-effective home care services. The Executive Director oversees daily operations, financial performance, regulatory compliance, personnel management, and the implementation of agency goals aligned with the agency’s mission and values. Responsibilities Mission, Policy, Planning, and Governance: Collaborate with the Board to establish NWVNA’s values, mission, vision, and short- and long-term goals and objectives. Work with the Board to monitor and evaluate NWVNA’s development of business opportunities, including its market share growth, effectiveness, and results. Identify problems and opportunities and address them. Bring issues that are appropriate to the Board, facilitating discussion and deliberation. Inform the Board about trends, issues, problems, and activities to facilitate policy-making recommendations. Leadership & Strategic Direction: Provide leadership to all agency departments both clinical and administrative to ensure coordinated, high-quality patient care is provided. Develop, implement, and monitor the agency’s strategic goals, objectives, and new agency-wide initiatives. Promote and model a culture of accountability, collaboration, and patient-centered care. Serve as the liaison between the governing body, leadership team, and staff. Represent the agency at community, professional, and healthcare-related events to enhance visibility and partnerships. Financial, Business Management, and Marketing: Oversee and manage within the agency’s annual operating and capital budgets. Monitor financial performance, including revenues, expenses, and profitability, against established goals. Prepare and present monthly, quarterly, and annual financial statements, along with variance analysis, to the Board. Provide data-driven recommendations to support strategic planning and operational efficiency. Review and negotiate vendor contracts such as leases, audit contracts, cleaning services, IT services, EMR contract, insurance contracts, to secure better pricing, align business needs, and mitigate Agency risk. Analyze operational and financial data to guide data-driven decision making. Analyze payer trends, case mix, and reimbursement patterns to identify opportunities for improvement. Advise the Board and leadership team on financial strategy, risk management, and long-term planning. Monitor key financial metrics including revenue, expenses, case mix, and cost per visit. Identify and develop effective business opportunities, partnerships, and service lines to promote growth. Ensure strong relationships with referral sources including physicians, hospitals, SNFs, and case managers. Collaborate with the Director of Business Development to develop strategies that positively promote agency visibility, reputation, and referral growth. Operational Management: Oversee daily operations and ensure efficient coordination between departments, including billing, scheduling, and intake. Establish and review policies and procedures to ensure consistency and compliance. Monitor patient census, staffing levels, and productivity to maintain efficient use of resources. Ensure patient and family satisfaction through effective communication and prompt resolution of issues. Clinical Oversight: Collaborate closely with the Senior Director of Clinical Operations to ensure clinical excellence. Analyze clinical and performance data including QAPI outcomes to identify trends requiring further action. Ensure that infection control, incident reports, and adverse events have timely follow-up and resolution. Ensure ongoing competency, licensure, and education of clinical staff. Regulatory Compliance and Quality Assurance: Ensure compliance with all Medicare Conditions of Participation, state home health regulations, and accreditation standards. Responsible for CMS, Medicaid, and other payor recertification processes to ensure the Agency meets federal, state and payor specific requirements. Collaborate with senior managers on all regulatory and finance surveys, audits, and inspections. Ensures development and implementation of timely, complete corrective action plans as needed. Ensure the agency’s Quality Assurance and Performance Improvement program is effective and meets all state and federal regulatory standards. Maintain up-to-date knowledge of key regulatory changes. Ensures communication of key regulatory requirements to staff and management. Human Resources and Staff Development: Provide direct supervision and mentorship to management-level staff, including the Senior Director of Operations, Finance Manager, HR Manager, and Intake Manager. Ensuring that recruitment, performance management, and benefit administration meet agency policies, legal and ethical standards, and industry best practices. Promote ongoing education, training, and professional development opportunities. Foster and model a positive work environment, encourages communication, accountability, and teamwork. Oversee employee engagement initiatives and retention strategies. Qualifications A bachelor’s degree in the medical field or business administration, required; a master’s degree in business administration, health administration, nursing, or a related medical field, preferred. Minimum of 7 years of progressive leadership experience in home health or a related health care field. Demonstrated knowledge of Medicare home health operations, reimbursement, and federal regulatory compliance standards and Conditions of Participation. Experience managing interdisciplinary clinical teams preferred. Skills and Competencies Extensive leadership experience includes analytical skills and the ability to positively influence and motivate staff. Exceptional communication skills include writing, public speaking, and active listening. Proven fiscal management and business acumen, including demonstrated success in managing budgets, compliance, and growth initiatives. Proficient working knowledge of the Home Health Medicare Conditions of Participation, OASIS, and home health documentation and billing standards. Excellent organizational, problem-solving, and decision-making abilities. Maintains composure in various situations and settings. Excellent ability to lead and develop effective teamwork. Proficiency with EMR systems and Microsoft Office Suite https://nwvna.org/

Keywords: Natick Walpole VNA, Concord , Home Health Executive Director, Healthcare , Walpole, New Hampshire