District Director of Operations

Role Overview

The District Director of Operations (DDO) is "the hammer" - a highly operational role focused on execution, accountability, and preventing service failures across multiple branches. Reporting to the VP of Operations and Clinical Services, the DDO manages Branch Directors directly and ensures daily operational systems run with precision and consistency. This role provides critical leverage to senior leadership by owning the intensive work of compliance monitoring, audit execution, productivity tracking, and operational troubleshooting—freeing up strategic leaders to focus on clinical oversight, ACO partnerships, quality improvement, and growth initiatives.

This is a people and systems management role. Home health experience is not required, and healthcare experience is helpful but also not required. The ideal candidate brings strong operational leadership, structured accountability systems, and the ability to drive execution across multiple locations.

Direct Management & Accountability

• Directly manage Branch Directors across multiple locations, providing daily coaching, structured accountability, and performance management to drive consistent operational results

• Conduct daily leadership meetings with Branch Directors to review operational priorities, address barriers, troubleshoot issues, and ensure execution of workflows and monitoring systems

• Build and maintain a structured leadership cadence including recurring 1:1s, branch performance reviews, and leadership development planning

• Make employment decisions for direct reports, including hiring, promotion, performance improvement, and termination decisions

• Set clear expectations, objectives, and goals for branch leaders; hold them accountable for operational and compliance outcomes

Operational Monitoring & Compliance Oversight

• Ensure compliance dashboards and reports are cleaned up daily across all branches—monitoring documentation quality, regulatory adherence, and process compliance

• Conduct regular audits of branch operations, identifying gaps in execution and implementing corrective action plans to prevent recurrence

• Monitor productivity metrics daily, intervening when branches fall below expectations and coaching leaders to improve performance

• Prevent service failures at a high level by proactively identifying operational risks and ensuring branch leadership has the systems and support needed to execute consistently

• Work with branch leadership to ensure regulatory and payer requirements are understood and operationalized into daily workflows

Data-Driven Performance Management

• Own district performance across key operational metrics tracked through the Branch Operations Dashboard and Clinical Operations Dashboard—ensuring Branch Directors drive daily execution and report clearance

• Use live operational dashboards to coach leaders daily on productivity, compliance, and workflow execution:

  • Branch Operations Dashboard: Monitor PCC productivity, capacity projections, scheduling workflows (SRR, placeholder visits), TIOC compliance (SOC/ROC 48-hour windows), unaddressed visits, outstanding documentation (SOCs), consent compliance, staffing escalations, and optimization opportunities (mileage, overtime, moveable visits)

  • Clinical Operations Dashboard: Monitor clinical compliance workflows including homebound assessments, supervisory visits, vital sign parameter reporting, infection control logs, driveway reports, VPOC documentation, hospital holds, episode resolutions, order accuracy, LUPA risk, and emergency preparedness

• Hold Branch Directors accountable for end-of-day (EOD) report clearance across both dashboards—intervening immediately when reports remain outstanding or operational issues are unresolved

• Analyze patterns across dashboard metrics to identify root causes of failures; design and implement corrective action plans and accountability structures to prevent recurrence

• Conduct daily reviews of branch-level execution, using dashboard data to identify performance gaps early and drive sustained improvement through structured coaching interventions

Cross-Functional Collaboration

• Work hand-in-hand with Regional Sales Managers (RSMs) to ensure seamless collaboration on productivity, capacity management, and referral flow—no formal reporting relationship, but partnership is critical

• Support branch leadership in meeting budgeted admission goals by ensuring efficient capacity management, intake processes, and coordination with the sales team

• Hold branch leaders accountable to admission processes, ensuring timely patient admission and effective communication of capacity constraints

• Collaborate with VP of Operations and Clinical Services and senior operations leadership to implement operational standards, process improvements, and strategic initiatives across the district

Operational Leadership & Execution

• Ensure consistent execution of daily, weekly, and monthly operational workflows across all branches while allowing for local market nuances

• Oversee district-level operational functions including payroll approval, non-visit activity (NVA) management, system workflow compliance, and adherence to operational standards

• Oversee orientation and onboarding programs for district personnel, ensuring every team member is set up for success from day one

• Participate in the on-call rotation, including administrative on-call duties, preparing on-call schedules, and supporting the on-call process

• Identify and report operational risks, process failures, and improvement opportunities in accordance with company protocols

• Perform other related duties as assigned