Director of Nursing

• Provide clinical oversight for nursing services across multiple residential care homes.
• Conduct initial and ongoing resident assessments, including physical, cognitive, emotional, and medication evaluations.
• Develop, implement, and update individualized service plans and comprehensive care plans in accordance with HHSC regulations.
• Monitor residents for changes in condition and coordinate timely interventions.
• Perform direct nursing care as needed, including wound care, injections, assessments, medication review, and delegated nursing procedures.
• Coordinate medication management with pharmacies, hospice agencies, and physicians to ensure accuracy and continuity of care.
• Ensure residents’ nutritional needs are met through collaboration with dietary providers and caregiving staff.

Staff Leadership & Development

• Lead, mentor, supervise, and support caregivers and clinical staff.
• Conduct orientation, skills validation, medication administration training, and ongoing education.
• Provide nurse delegation and supervision for delegated nursing tasks in accordance with Texas regulations.
• Serve as a clinical resource for staff, providing coaching and support as needed.

Regulatory Compliance & Quality Assurance

• Maintain compliance with all Texas HHSC regulations and nursing standards.
• Ensure accurate and timely clinical documentation.
• Monitor incidents, investigate concerns, and implement corrective actions when appropriate.
• Participate in state surveys and regulatory inspections, including plans of correction when required.
• Conduct routine rounds to evaluate quality of care, resident safety, and regulatory compliance.

Resident & Family Relations

• Serve as the primary clinical liaison for residents, families, physicians, hospice providers, home health agencies, and ancillary healthcare partners.
• Communicate resident status changes, care updates, physician appointments, medications, and care planning with professionalism and compassion.
• Coordinate durable medical equipment (DME), medical supplies, specialty appointments, and clinical services.
• Facilitate care conferences and assist families with care planning and transitions.

Operations & Collaboration

• Maintain regular communication with each care home to ensure resident needs are addressed promptly.
• Collaborate with leadership, marketing, scheduling, therapists, case managers, physicians, hospitals, and community partners to coordinate seamless resident care.
• Assist with admissions, assessments, hospital discharges, and clinical transitions as needed.
• Support emergency preparedness and ensure staff competency in responding to medical and environmental emergencies.
• Demonstrate sound clinical judgment, critical thinking, and effective problem-solving in daily operations.

Qualifications

• Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
• Current, unrestricted Texas Registered Nurse (RN) license-required
• Minimum five (5) years of progressive nursing leadership experience in assisted living, memory care, long-term care, home health, or a related senior care setting.
• Strong knowledge of Texas Health and Human Services Commission (HHSC) regulations.
• Experience supervising, mentoring, and developing clinical staff.
• Excellent assessment, clinical decision-making, communication, and organizational skills.
• Ability to build trusted relationships with residents, families, physicians, and interdisciplinary care teams.
• Demonstrated commitment to compassionate, resident-centered care and continuous quality improvement.