Director of Operations (Home Care) POST NUMBER: 457880
Title: Director of Operations
Client: Home Healthcare (Non Skilled)
Location: Columbus or Clevland, OH area
Salary: $90,000-125,000 base
We are seeking a highly motivated, hands-on Director of Operations to launch and lead a non-skilled home care agency from the ground up. This is a rare opportunity for an experienced home care professional to build and scale a new operation with full ownership over setup, staffing, systems, and growth. The ideal candidate will bring deep industry knowledge, operational expertise, and the drive to build an agency that delivers exceptional care to the communities it serves.
Initially a solo role, this position is expected to grow into a leadership position overseeing 14 administrative staff and 450 caregivers, with a target of reaching 50 active patients in the first year.
Key Responsibilities:
1. Agency Buildout & Launch
-
Identify, lease, and set up the agency’s physical office space
-
Coordinate utilities setup (phone, internet) and manage contractors for signage, cubicles, and IT infrastructure
-
Serve as the primary on-site leader during the initial buildout phase
2. Operations Management
-
Oversee daily business operations, including handling patient inquiries, client onboarding, and caregiver coordination
-
Develop and implement standard operating procedures and workflows for efficiency and compliance
3. System Implementation
-
Implement and manage essential software systems including HHA Exchange (scheduling/billing), RingCentral (phone system), and Employ (ATS)
-
Ensure systems are optimized for scalability, reporting, and compliance
4. Patient Growth & Business Development
-
Drive patient census growth by onboarding approximately 2 new clients per month
-
Support future marketing efforts by collaborating with business development staff targeting hospitals, ALFs, and community partnerships
5. Recruitment & Staffing
-
Lead caregiver hiring and onboarding, from initial contact through orientation
-
Create staffing plans and hiring strategies to support patient growth and caregiver retention
6. Licensing & Compliance
-
Manage credentialing and contracting with additional Managed Care Organizations (MCOs) to expand into new service areas
-
Partner with consultants to ensure regulatory and licensing requirements are met in all operating markets
7. Caregiver Training & Development
-
Develop an employee handbook and training curriculum for onboarding caregivers
-
Oversee training on tools such as the HHA Exchange mobile app to ensure caregiver compliance and readiness
8. Financial Oversight (Operations)
-
Monitor key financial and operational KPIs, including staffing costs, patient growth, and budget adherence
-
Work closely with outsourced billing partners, applying your knowledge of P&L to support decision-making
Qualifications:
-
10 years of progressive experience in home care operations, including roles such as Intake Coordinator, Director of Intake, or Director of Operations
-
Prior experience launching or scaling a non-skilled home care agency strongly preferred
-
Proficiency with HHA Exchange or comparable home care software
-
Strong leadership, organizational, and project management skills
-
Excellent interpersonal and communication skills
-
Self-starter with the ability to work independently and handle a wide range of responsibilities
Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .
Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.
By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
Privacy Notice
Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.
- California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
- Virginia residents may access our state specific policies here.
- Residents of all other states may access our policies here.
- Canadian residents may access our policies in English here and in French here.
- Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:
- the individual’s skill sets, experience and training;
- licensure and certification requirements;
- office location and other geographic considerations;
- other business and organizational needs.
With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.