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Director of Clinical Services

Passion Hospice, Inc

San Antonio, TX

Eligibility
RNExecutive Nurses & Nurse AdministratorsAdministrative & Consulting NursesDirectors of Nursing

Posted Jun 30 · Not open to new grads

What the listing says

Role

Term
Permanent
On the floor
Precepting expected · On call
Setting
Hospice
Accepts
RN
Experience
5+ years

Ratio not posted. Ask in the interview.

Pay

Against the board
Inside the TX staff range

TX staff postings that state pay run $25/hr to $60/hr, the middle half $33/hr to $47/hr, across 898 postings.

Overtime
$90/hr

About this role

*Director of Clinical Services (DCS) – Hospice*

San Antonio, TX

*Position Summary*

The *Director of Clinical Services (DCS)* is a senior leadership role responsible for overseeing all clinical operations within a hospice organization. This position ensures the delivery of high-quality, patient-centered care aligned with hospice philosophy, organizational values, and all applicable federal, state, and accreditation standards.

Read the full posting

The DCS works closely with the interdisciplinary team (IDT), physicians, and executive leadership to support compassionate end-of-life care across the community.

*Why This Opportunity*

This role offers the chance to lead meaningful work in hospice care, where every patient is treated with dignity, comfort, and compassion.

As Director of Clinical Services, you will

  • Lead a dedicated interdisciplinary team of nurses, social workers, chaplains, aides, and volunteers
  • Shape a culture of clinical excellence and compassionate care
  • Mentor and develop future clinical leaders
  • Make a meaningful impact on patients and families during critical moments

*Key

Responsibilities

*

*Clinical Leadership & Operations*

  • Oversee daily clinical operations, ensuring adherence to hospice care standards
  • Supervise, mentor, and evaluate clinical staff
  • Facilitate interdisciplinary team (IDT) meetings, case reviews, and care planning
  • Ensure timely completion of clinical documentation and assessments
  • Provide expertise on symptom management and end-of-life care
  • Address and resolve patient and family concerns

*Compliance, Quality & Regulatory*

  • Ensure compliance with Medicare/Medicaid Conditions of Participation, Texas HHSC regulations, and accreditation standards
  • Lead quality improvement initiatives, audits, and chart reviews (QAPI)
  • Monitor clinical performance metrics and report outcomes
  • Prepare teams for surveys, audits, and accreditation reviews
  • Stay current on regulatory updates and educate staff

*Admissions & Eligibility*

  • Collaborate with admissions to ensure appropriate patient eligibility and timely onboarding
  • Review and approve clinical documentation for hospice eligibility
  • Work with physicians and medical directors on level-of-care decisions
  • Support efforts to reduce inappropriate discharges

*Staff Development & Retention*

  • Recruit, hire, and retain qualified clinical staff
  • Conduct performance evaluations and provide ongoing coaching
  • Identify training needs and implement education programs
  • Promote a culture of accountability, compassion, and teamwork

*Collaboration & Communication*

  • Act as a liaison between clinical teams and executive leadership
  • Partner with leadership on growth strategies and referral relationships
  • Collaborate with billing and compliance teams for accurate documentation
  • Represent the organization within the healthcare community

*On-Call & Clinical Support*

  • Participate in or oversee on-call coverage
  • Provide after-hours support for clinical issues and emergencies

*QualificationsEducation & Licensure*

  • Bachelor of Science in Nursing (BSN) required
  • Master’s degree (MSN or related field) preferred
  • Active, unrestricted RN license in Texas (or eligibility)

*Experience*

  • 3–5 years of hospice or palliative care experience required
  • 2–3 years of hospice clinical leadership or supervisory experience
  • Experience leading interdisciplinary teams
  • Knowledge of Medicare/Medicaid regulations and QAPI programs
  • ACHC or CHAP accreditation experience preferred

*Work Requirements*

  • Travel within the service area (patient homes, SNFs, assisted living facilities)
  • Ability to sit, stand, bend, and lift up to 25 lbs
  • Reasonable accommodations provided as required by law

Pay: $90,000.00 - $95,000.00 per year

Benefits

  • Paid time off

Work Location: In person

Sourced from a public job board.

*Experience* * 3-5 years of hospice or palliative care experience required * 2-3 years of hospice clinical leadership or supervisory experience * Experience leading interdisciplinary teams * Kno· from this posting

Requirements

  • RN

Place

City
San Antonio, TX
Median rent
$1,324/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$65,056/yr

all local households, not nurse pay · Census ACS 2024

Metro price level
5% below the national average

San Antonio area index 94.7, where 100 is the national average.

San Antonio blends rich Tex-Mex culture, historic missions, and a laid-back river city feel. The famous River Walk winds through downtown, while the Pearl District offers trendy dining and lofts. With no state income tax, major hospital systems, and warm weather year-round, it's an affordable, welcoming spot for nurses seeking authentic South Texas charm.

Map showing the location of San Antonio, TX
Approximate location in San Antonio, TX. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.

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