RN licensure in Nebraska preferred; BSN preferred, MSN a plus
Advanced Excel proficiency for dashboard creation
Experience in EHR configuration and workflow customization
Data extraction and transformation from EHR and financial systems
Strong financial acumen with direct budgeting experience
Healthcare operations leadership in community-based settings
Understanding of Medicare Part B billing and compliance
Responsibilities
Assume full operational accountability for primary care within senior living communities
Drive data analysis and performance improvement using dashboards
Optimize EHR configurations and clinical workflows
Manage financial performance and the Primary Care P&L
Lead and develop the Nurse Practitioner team and align staffing levels
Champion growth through enrollment strategy and community engagement
Steer change management and culture across clinical transitions
Benefits
Flexible work location between home office and communities
Opportunity to influence and drive strategic growth
Meaningful impact on resident care and community health
Leadership role with direct visibility to ownership
Supportive environment for Nurse Practitioners
Professional development opportunities in healthcare operations
Full Job Description
Description
Our Director of Primary Care Will:
Assume full operational accountability for OnCare Primary Care, driving the strategic growth, clinical operations, community relationships, and financial health of this specialized program embedded within Heritage senior living communities, while managing the Nurse Practitioner team, reporting to the SVP of Healthcare, and maintaining direct visibility to ownership.
Balance clinical rigor with sharp financial discipline as an agile operator, splitting time between the Omaha home office and our senior living communities to scale a program currently serving ~300 residents while ensuring long-term financial viability.
Drive data analysis and performance improvement by owning dashboards and reporting rhythms for census, engagement, billing, productivity, and quality, extracting Electronic Health Record (EHR) and financial data to build board-ready reporting packets.
Lead people through significant change without losing trust, standing up the data infrastructure to track performance, managing the billing capture engine, and partnering closely with community leaders and the NP team to enhance engagement and care quality.
Optimize EHR configurations and clinical workflows, including template design, order-set optimization, workflow standardization, and system integrations, while collaborating with vendors to ensure the platform meets regulatory and practice needs.
Manage financial performance and the Primary Care P&L (Profit and Loss) to meet annual targets, leading budgeting, financial modeling, and billing initiatives like coding audits, denial management, and Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) expansion.
Oversee clinical operations and triage by providing RN-level clinical triage support to providers, residents, and families, while ensuring total documentation integrity and compliance across Medicare Part B billing, credentialing, and RAC/TPE payer audits.
Lead and develop the Nurse Practitioner team, managing their performance, productivity, and credentialing, executing our Relative Value Unit (RVU)-based or hybrid compensation model, and aligning staffing levels with patient census.
Champion growth and community engagement by owning the enrollment strategy, driving conversion from palliative or supplemental services into full Primary Care, and supporting expansion into additional communities.
Steer change management, communication, and culture across all clinical, operational, and technology transitions using structured frameworks like ADKAR or Kotter to align clinicians, community leadership, residents, and owners.
Requirements
Our Director of Primary Care Has:
Registered Nurse (RN) licensure in Nebraska preferred (BSN preferred, MSN a plus), though non-RN candidates with exceptional healthcare operations experience will be strongly considered.
Advanced Excel proficiency, with a proven track record of using pivot tables, structured references, dynamic arrays, and/or Power Query to build dashboards, scorecards, and executive-ready reporting.
Direct EHR configuration and workflow customization experience, including a background in building or optimizing templates, order sets, and reporting structures within a major EHR platform.
Demonstrated data extraction and transformation skills, with hands-on experience pulling and structuring data from both EHR and financial systems to build actionable dashboards.
Strong financial acumen, including direct experience managing annual budgeting, monthly variance analysis, contribution margin analysis, and multi-year financial modeling.
Healthcare operations leadership experience, preferably within ambulatory, primary care, palliative care, home-based care, or similar community-based settings.
Familiarity with Medicare Part B billing and compliance, ideally including experience with CCM, RPM, and CANTAB programs, though a strong willingness to learn will be considered.
Prior supervisory or partnership experience managing Nurse Practitioners or other advanced practice clinical staff.
Experience with RVU-based, productivity-based, or hybrid compensation models to effectively align clinical staffing with operational targets.
Familiarity with senior living operating environments, including assisted living or continuing care retirement communities (CCRCs).
Exposure to value-based care delivery models, ACO participation, or shared savings programs as a strong professional plus.
Proven change management capabilities, utilizing structured frameworks such as ADKAR, Kotter, or equivalent methodologies to guide teams through operational transitions.
Excellent verbal and written communication skills, with the ability to engage effectively across clinicians, senior living community leadership, residents, families, and executive audiences.
A track record of cultural leadership, with a demonstrated ability to build and sustain a positive, values-driven team environment.
Proficiency with the Microsoft 365 suite, including standard daily use of Word, Outlook, Teams, SharePoint, and PowerPoint.
A valid driver's license and an acceptable driving record, ensuring the ability to travel flexibly between the home office and community locations.
