Director, Clinical Services; DCS

Director, Clinical Services (DCS) – RN

Location: Carmel, IN (Office-based with field responsibilities)

An innovative, well-funded hospice startup is seeking a Director of Clinical Services (DCS) to oversee clinical operations and help scale a high-quality, patient-centered hospice program. This hands-on, working nurse leadership role is ideal for a seasoned hospice case manager ready to take the next step—or a hospice clinical leader who thrives in a growth-focused, mission-driven environment.

The DCS will partner closely with the Executive Director and play a critical role in team development, compliance oversight, and care delivery excellence. This is a unique opportunity to help build and shape the clinical foundation of a hospice organization in growth mode.

• Serve as the clinical operations lead and trusted partner to the Executive Director
• Provide hands-on clinical leadership while maintaining an active patient caseload as needed
• Oversee patient admissions, care planning, and IDG (Interdisciplinary Group) meetings
• Review clinical documentation, monitor quality outcomes, and ensure compliance with Medicare Conditions of Participation and state regulations
• Manage clinical staff scheduling and ensure appropriate coverage and productivity
• Coach, mentor, and support nurses, aides, and interdisciplinary team members
• Step in as acting/pseudo Executive Director during leadership PTO or absences when needed
• Participate in strategic planning and help scale the clinical model as census grows
• Monitor performance metrics and clinical outcomes; implement corrective actions as needed
• Foster a culture of high-quality hospice care, accountability, and compassion
• Travel locally within the assigned territory as required

• Active RN license in Indiana
• Required hospice experience — minimum 2+ years in hospice, either:
  • Strong hospice case management experience, or
  • Hospice clinical leadership experience
• Comfortable in a working nurse role
  , balancing leadership responsibilities with patient care
• Passion for hospice and delivering exceptional, patient-centered end-of-life care
• Ability to lead with energy and purpose—someone who is infectious in their commitment to quality
• Open to candidates with strong hospice longevity who are ready for their next step
  , but may not have upward mobility in their current organization
• Confident running IDG meetings, managing schedules, and overseeing documentation and quality standards
• Leadership presence with the ability to act in the ED’s role when needed
• Growth-minded, adaptable, and comfortable in a startup or scaling environment
• Strong communication, organizational, and coaching skills
• Familiarity with CHAP standards a plus
• BSN or MSN preferred (or degree in Healthcare Administration or related field)

• Base Salary: $110,000 – $115,000
• Bonus: Up to 20% performance-based incentive
• Mileage reimbursement: $0.67/mile
• Technology stipend: $40/month
• Medical, dental, and vision insurance
• Company-paid disability and life insurance
• 401(k) with 4% company match
• PTO: 20 days per calendar year
• Sick time: 5 days per calendar year
• Paid holidays: 6 major holidays + 2 floating holidays
• Tuition reimbursement
• Employee referral program
• Flexible scheduling and leadership autonomy
• Education, training, and wellness support resources
• Zen rooms in every branch for reflection and recharge

If you’re a hands-on RN leader who is passionate about hospice, energized by growth, and ready to make a meaningful impact while building something special—we’d love to connect.