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Obran Cooperative

Worker-owned holding cooperative for SMBs

Home Health Director of Patient Care Services - DPCS, Apollo

Full-TimePosted on 10/26/2026
$150k - $160k+ Profit-sharing + Mileage reimbursement
Senior
Bachelor's, Master's
Pleasanton, CA, USA
In PersonBased in the Pleasanton office Monday–Friday, 9 a.m.–5 p.m.; periodic patient-home visits and after-hours on-call availability.
Medical, Clinical & Veterinary

About the job

Requirements
  • A current, active California Registered Nurse (RN) license with no board actions or restrictions is required.
  • A Bachelor of Science in Nursing (BSN) or higher from an accredited program is required.
  • At least 5 years of RN experience is required, including 3 years within the past 5 years in home health, primary care, or acute care.
  • At least 2 years of clinical leadership in a Home Health Agency is required.
  • Working knowledge of California Title 22, CMS Conditions of Participation, and the California Nursing Practice Act is required.
  • Experience supervising and developing clinical staff is required.
  • Strong clinical judgment and calm, decisive leadership in a crisis are required.
  • Clear, collaborative communication with clinicians, physicians, patients, families, and regulators is required.
  • EMR proficiency is required, with the ability to get up to speed within 30 days of hire accepted; WellSky/Kinnser is preferred.
  • Active BLS/CPR certification is required.
  • A valid California driver's license and auto insurance for field audits are required.
  • A California DOJ/FBI Live Scan background check and a complete 10-year employment history are required.
  • The role requires working at a computer for extended periods, communicating effectively in person, by phone, and by video, moving around the office, traveling to patient homes for field audits, occasionally lifting up to 10 pounds, and maintaining focus during clinical crises and shifting priorities.
Responsibilities
  • Direct and evaluate all nursing, therapy, and medical social work services.
  • Review and authorize admissions for clinical appropriateness.
  • Write and update clinical policies as state and federal requirements change.
  • Directly supervise clinical coordinators and field clinicians.
  • Conduct performance evaluations and field competency assessments, coach staff for growth, and lead final-round clinical interviews.
  • Partner with the HR Lead to address performance concerns fairly, consistently, and in line with California labor law.
  • Bring frontline clinicians into decisions about care delivery in keeping with cooperative values.
  • Design and run the QAPI program, present quality data, and protect CMS Star Ratings.
  • Lead chart audits to ensure medical necessity is clearly documented.
  • Serve as final clinical decision-maker for complex physician concerns, clinical crises, and patient and family grievances.
  • Keep the agency survey-ready and serve as the primary clinical contact for CDPH and other regulatory inquiries.
  • Work with the Administrator as a leadership partner and collaborate with HR and operations teams to keep care consistent, compliant, and sustainable.
  • Make periodic visits to patient homes for field audits and remain available on call outside business hours for clinical emergencies and regulatory inquiries.
Desired Qualifications
  • An MSN or a master's in nursing administration or a related field is desirable.
  • CNML or CENP certification is desirable.
  • At least 5 years of home health clinical leadership is desirable.
  • Hands-on experience with CDPH surveys or designing a QAPI program is desirable.
  • Experience in a worker-owned or cooperative organization is desirable.

About the company

Obran Cooperative is a worker-owned holding cooperative that buys and holds profitable small to mid-size businesses and real estate on behalf of its member-owners. It builds capital through a portfolio and governance shared by workers, aiming to generate long-term wealth and opportunities. Members gain ownership stakes in the holdings and receive education to manage assets. The cooperative structure differentiates it from traditional owners by distributing control and profits among worker-owners and focusing on long-term asset ownership rather than short-term exits.

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

Baltimore, Maryland

Founded

2018

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Simplify's Take

What believers are saying

  • Obran announced Appalachian Field Services in 2025 as its first acquisition test.
  • Seed Commons and Acumen America validated Obran with external capital and debt financing.
  • Obran Health’s 2026 expansion into home health and hospice targets fragmented demand.

What critics are saying

  • Joseph Cureton exited leadership on 2024-12-19, signaling succession risk across Obran’s portfolio.
  • Obran’s leverage-heavy acquisitions require 6-18 months and debt payoffs from acquired operations.
  • If acquisitions stall, the worker-owned conglomerate thesis collapses into a small, illiquid holding company.

What makes Obran Cooperative unique

  • Obran’s 2026 model owns workers through acquisitions, not conventional venture-backed startups.
  • Obran Health targets $1-10M agencies, converting caregivers into owners since 2022.
  • Obran serves 500 workers across staffing, health, and land-rights businesses in 2026.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Paid Vacation
  • Paid Holidays