RN/PDN Clinical Manager

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