Position Summary

The RN Clinical Manager — Private Duty Nursing (PDN) is a senior registered nurse leader responsible for the clinical oversight, quality assurance, regulatory compliance, and day-to-day management of a private duty nursing program serving pediatric and/or adult patients in their homes. This role is specifically focused on the unique demands of PDN cases — including technology-dependent patients, ventilator management, tracheostomy care, complex pediatric cases, and extended-hour nursing shifts — and requires a nurse leader with deep clinical expertise in high-acuity home-based care. The RN Clinical Manager PDN ensures that every patient receives safe, individualized, skilled nursing care delivered by a well-supervised, competent clinical team, in full compliance with the New York State Nurse Practice Act, NYS Department of Health regulations, and Medicaid/managed care requirements. The ideal candidate is a confident clinical leader who is equally at home reviewing a care plan, conducting a field supervisory visit, mentoring a bedside nurse, and presenting outcomes data to agency leadership.

Key Responsibilities

PDN Clinical Oversight & Patient Care Management

• Maintain overall clinical accountability for the safety, quality, and appropriateness of all private duty nursing care delivered across the agency's PDN caseload
• Oversee the clinical management of complex, technology-dependent patients including those requiring ventilator support, tracheostomy care, G-tube/J-tube/NG-tube feedings, IV therapy, continuous oxygen, cardiac monitoring, and wound care
• Review, approve, and monitor individualized Plans of Care (POCs) for all PDN patients — pediatric and adult — ensuring alignment with physician orders, patient needs, and payer authorizations
• Conduct or oversee initial nursing assessments and start-of-care evaluations to establish clinically appropriate, comprehensive care plans prior to first visit
• Perform and document supervisory nursing visits in the patient's home to directly observe and evaluate the quality of PDN care being delivered
• Lead clinical case conferences for high-acuity, complex, or unstable patients involving physicians, specialists, therapists, families, and nursing staff
• Respond to clinical escalations, patient safety events, and emergencies with sound, timely clinical judgment
• Oversee discharge planning for PDN patients transitioning to lower levels of care, inpatient settings, or other providers
• Ensure new PDN admissions have a completed nursing assessment and start-of-care visit within required timeframes.

Qualifications

Required

• Active, unrestricted Registered Nurse (RN) license issued by the New York State Education Department (NYSED) — required
• Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN) strongly preferred
• Minimum 5 years of clinical nursing experience, with at least 3 years in private duty nursing, pediatric home care, or high-acuity home-based nursing
• Minimum 2-3 years of nursing supervisory or management experience in a home care or PDN setting
• Demonstrated clinical competency in ventilator management, tracheostomy care, G-tube/J-tube/NG-tube care, IV therapy, and other complex nursing skills common in PDN
• In-depth knowledge of NYS DOH LHCSA regulations (10 NYCRR Part 763), NYS Medicaid, MLTC, and private duty nursing authorization processes
• Strong leadership, staff development, and team management skills
• Excellent written and verbal communication and critical thinking skills
• Current BLS/CPR certification (American Heart Association); PALS preferred for pediatric PDN programs

Other Requirements

• Satisfactory background check and fingerprinting in accordance with NYS Social Services Law
• Valid New York State driver's license and reliable transportation for field supervisory visits

Compensation & Benefits

• Competitive salary: $80,000 - $100,000 annually 
• Performance-based bonus tied to quality outcomes, PDN census growth, and survey results
• Bonus program: subject to the number of intakes achieved for the month
• Health benefits contribution
• Volunteer dental and vision insurance
• Paid time off and holidays
• 401(k) or retirement plan
• Paid time off, holidays, and sick leave
• Mileage reimbursement for field supervisory visits