Home Health Administrator

Overview:

We are launching a new non-medical home health agency serving Durham and Chapel Hill to deliver high-quality, compassionate care in the community. As a start-up, we’re building our processes, culture, team, and brand from the ground up—and we’re looking for a dynamic, hands-on Administrator who thrives in a startup environment and wants to help shape something meaningful.

Position Summary:

The Administrator is responsible for achieving clinical excellence in outcomes, regulatory compliance, consumer, and employee experience in a fiscally responsible manner. Reporting to the Owner/CEO, you will help facilitate the administration and operations of the agency during the pre-licensure/start-up phase (estimated 4–6 months) and beyond into ongoing part-time operations. You will play a key leadership role in developing and executing our operational infrastructure: financial oversight, HR, hiring and onboarding of caregivers/staff, policy & procedure development, compliance preparations, and day-to-day administrative operations. This is a part-time role (flexible schedule) with potential to grow in hours/role as the agency is licensed and begins client services.

Key Responsibilities:

• Lead the initial set-up and development of the agency’s operational framework: policies, procedures, compliance documentation, licensing process coordination.
• Manage finances: budgeting, tracking startup and operating expenses, working with accounting/bookkeeping, and supporting monthly financial reporting.
• Oversee HR functions: recruit, screen and onboard caregivers and administrative staff; maintain personnel records; develop training/onboarding materials; support performance-management processes.
• Drive operations: establish scheduling, time-keeping and billing workflows (non-medical services), vendor relationships, office systems, IT basics, vendor contracts.
• Provide leadership and initiative: you will be working in a small team (initially perhaps 1-3 people) and will need to self-start, take ownership of tasks, identify and solve problems, adapt rapidly.
• Collaborate closely with the founder/owner/board to set strategic priorities, monitor progress, provide operational input and help shape culture.
• Serve as the go-to administrator during the startup phase, comfortable working with limited infrastructure/structure, comfortable with ambiguity and development phase.
• Once licensed and through the startup phase, transition into ongoing part-time role supporting operations, HR, finance, and team leadership.

Required Qualifications & Skills:

• Bachelor's degree in nursing or other healthcare related field.
• Clear/active Registered Nurse license.
• Minimum 2 years of experience as a manager or administrator in home health (preferably non-medical or combination) or related care services agency.
• Proven leadership ability: able to take initiative, lead projects, thrive in a smaller team and start-up-like environment.
• Strong financial acumen: comfortable with budgets, expense tracking, basic financial reporting, working with bookkeeper/accountant.
• Solid HR and operations experience: recruiting/hiring, onboarding, performance-management, building team culture, establishing operational workflows.
• Excellent communication skills, high level of organization, able to juggle multiple priorities, comfortable with change and evolution of process.
• Comfort working in a start-up environment: not everything is built yet—must enjoy building, optimizing, iterating.
• Proficiency in Microsoft Office (Excel/Word) and comfortable learning new software tools (scheduling, time-keeping, care-management systems).
• Ability to work part-time initially (approx. X hours/week—specify your expected hours) with flexibility to increase as agency grows.
• Committed to values of compassion, integrity, teamwork, and a dedication to building a home-health agency grounded in quality care and strong operations.

Why You’ll Like This Role:

• Unique opportunity to be a foundational team member in a brand-new agency—your contributions will shape the business, culture and operations.
• You’ll wear many hats, learn, and grow—this is not a “steady state” job but a growth phase.
• Collaboration in a small, high-initiative team where your voice matters and you’ll have significant autonomy.
• Helping launch a business that will serve the community and deliver meaningful impact for clients and caregivers alike.

Application Process: Please submit a cover letter in addition to your resume describing your interest in and qualifications for this position.

Job Type: Part-time

Expected hours: 10 – 20 per week

Application Question(s):

• Are you willing to sign a consent for criminal background check?

Experience:

• Home Health Administration or Management: 2 years (Preferred)
• Nurse Supervision: 2 years (Preferred)

License/Certification:

• RN License (Preferred)

Work Location: In person