Twelfth One, LLC dba Aspen Infusion

Aspen Infusion is hiring a strategic and dynamic Director of Nursing (DON) to join our senior leadership team. The DON will provide executive-level direction for all nursing operations, overseeing multi-site service delivery and cross-functional department management. This role is responsible for managing the full operational lifecycle of home and alternate-site infusion services, including workforce planning, multi-tier staff management, financial oversight, regulatory compliance, quality outcomes, and driving strategic growth initiatives.

As a key member of the senior leadership team, the DON will lead organizational performance and foster a high-accountability, results-driven nursing culture. The ideal candidate will bring a strong combination of clinical expertise and business acumen, with the ability to effectively lead supervisors, field nurses, clinical coordinators, and frontline staff across multiple reporting layers.

Operational Leadership & Multi-Tier Management

• Design, implement, and continuously optimize a multi-tier management structure encompassing clinical supervisors, field nurses, and clinical support staff; establish clear lines of authority, accountability, and escalation.
• Develop and enforce operational standards, workflows, and standard operating procedures (SOPs) across all service lines and patient care settings.
• Oversee daily nursing operations, including clinical triage, staff assignments, patient management, and care coordination; ensure operational throughput metrics are consistently achieved.
• Conduct regular operational reviews (weekly, monthly, quarterly) with supervisory staff; use data-driven metrics to identify performance gaps and drive corrective actions across all management levels.
• Lead capacity planning, staffing models, and scheduling frameworks to ensure adequate clinical coverage 24/7 while managing labor cost efficiency.
• Drive operational scalability initiatives to support organizational growth, service line expansion, and new market entry.

Workforce Development & Multi-Level Supervision

• Participate in recruiting, hiring, onboarding, mentoring, and developing a multi-tiered nursing team, including supervisory, coordinator, and frontline clinical roles; build a leadership bench through targeted development programs.
• Establish individual performance expectations and objective KPIs for all direct and indirect reports; conduct structured performance appraisals and implement performance improvement plans as needed.
• Coach and develop supervisory-level staff to build their management capabilities, decision-making authority, and accountability; delegate operational authority appropriately across management tiers.
• Manage disciplinary processes through all stages, including counseling, formal corrective action, and termination recommendations, in accordance with HR policy and applicable law.
• Foster a culture of continuous learning through in-services, cross-training, competency assessments, and career-pathing programs.

Financial Accountability & Budget Management

• Develop, manage, and own the nursing department operating budget; monitor budget-to-actual performance monthly and present variance analyses with corrective plans to the CEO & CFO.
• Analyze clinical labor utilization, overtime, agency usage, and supply costs; implement cost-control strategies that maintain clinical quality while optimizing financial performance.
• Collaborate with the billing and revenue cycle department to ensure accurate, complete, and timely clinical documentation that supports proper reimbursement; monitor denial trends and drive resolution.
• Provide operational input for contract negotiations, payor relations, and service-line pricing in coordination with executive leadership.

Quality, Compliance & Regulatory Oversight

• Collaborate with Compliance Leadership to establish, monitor, and report on a comprehensive clinical quality program, including outcome metrics, patient safety indicators, incident reporting, and QAPI (Quality Assurance and Performance Improvement) activities.
• Ensure full compliance with all federal, state, and local regulatory requirements, including Arizona State Board of Nursing regulations, CMS Conditions of Participation, ACHC accreditation standards, and OSHA requirements.
• Take a lead role in all internal audits, mock surveys, and regulatory inspections; serve as the primary clinical point of contact for accreditation bodies.
• Develop and maintain clinical policies and procedures aligned with evidence-based practice, regulatory requirements, and organizational standards; review and update annually or as regulations change.
• Manage clinical risk events, adverse event investigations, root-cause analyses, and implementation of corrective and preventive actions (CAPA).

Strategic Planning & Organizational Leadership

• Serve as a member of the senior leadership team; participate in strategic planning, organizational development, and operational decision-making at the executive level.
• Identify, evaluate, and operationalize opportunities for service line growth, patient census expansion, and clinical program development.
• Build and maintain effective cross-functional relationships with pharmacy, billing, intake, and business development teams to ensure seamless patient care continuity.
• Represent the organization in referral partner relationships, physician liaison activities, and community health networks to strengthen market presence.
• Stay abreast of industry trends, regulatory changes, Arizona market dynamics, and emerging clinical best practices; present relevant findings and recommendations to executive leadership.
• Perform other duties as assigned by executive management.

• Active Arizona Registered Nurse (RN) license in good standing.
• BSN required; MSN, MBA, or other advanced degree strongly preferred.
• Current BLS certification.
• Valid driver's license and proof of automobile insurance.
• Required health screenings, including TB screening.

• 8+ years of progressive nursing experience.
• 4+ years of leadership experience managing multi-level clinical teams.
• 3+ years of experience in home infusion, specialty pharmacy, home health, ambulatory infusion, or related healthcare settings.
• Demonstrated experience managing departmental budgets and financial performance.
• Experience with ACHC accreditation and regulatory compliance programs preferred.
• Background in multi-site, high-volume, or rapidly growing clinical operations.
• Proven success leading organizational change, operational improvement, and workforce development initiatives.

• Ability to build and lead complex, multi-tier organizational structures with strong accountability systems.
• Expertise in workforce planning, staffing strategy, throughput optimization, and capacity management.
• Strong financial acumen and experience aligning clinical operations with organizational objectives.
• Advanced analytical skills with the ability to interpret and act on operational, financial, and clinical performance metrics.
• Knowledge of Medicare, Medicaid, and commercial payer systems relevant to infusion services.
• Proficiency with EHR systems, clinical technology platforms, and Microsoft Office applications.
• Exceptional communication, presentation, and executive leadership skills.
• Ability to influence across departments, drive alignment, and lead through change.
• Strong clinical judgment and demonstrated experience managing complex clinical situations and organizational risk.