Assistant Director of Health Services

Integrated Real Estate Group · Houston, TX Full Time
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Job Description

Centered Care (Employer) Centered Care is a health tech-enabled clinical services organization focused on delivering proactive, whole-person care within senior living communities. Through integrated care coordination, behavioral health support, and chronic care management, Centered Care partners with communities and providers to improve outcomes, reduce avoidable hospitalizations, and help residents age in place longer. Integrated Senior Lifestyles (On-Site Manager) Integrated Senior Lifestyles is committed to delivering exceptional senior living experiences through operational excellence, clinical quality, and resident-centered care. ISL communities prioritize safety, compliance, and high-quality outcomes while fostering environments where residents can thrive with dignity and support. Together, ISL and Centered Care bring a fully integrated care model that combines strong clinical operations with proactive, data-driven care coordination About the Job We are seeking a compassionate and organized clinical lead to implement and operate our Signature Wellness program. The Assistant Director of Health Services (ADHS) - Wellness Nurse is a clinical leadership role employed by Centered Care and embedded within an Integrated Senior Lifestyles community. This role operationalizes Centered Care’s Signature Wellness program while supporting key clinical leadership functions within the community. The ADHS–Wellness Nurse serves as a bridge between residents, families, providers, and community staff, ensuring proactive, coordinated, and high-quality care delivery. The Centered Care Signature Wellness program delivers proactive clinical care coordination, behavioral health coaching, and resident care support to empower seniors to age in place longer and provide family support and education. The Wellness Nurse (or Coach however it sounds to you) will work closely with residents, families, healthcare providers, and community staff to ensure comprehensive care coordination and disease management for both chronic and mental health conditions (specifically dementia). This role is crucial in managing the care of residents with chronic conditions, improving resident outcomes, and ensuring continuity of care. Unlike traditional roles, this position is focused on: Proactive care vs. reactive response Coordination across the full care continuum Driving outcomes, not just compliance The role reports to Centered Care Operations Leadership with strong day-to-day partnership with the community Director of Health Services. Key Responsibilities Care Concierge & Clinical Coordination (Primary Focus) Coordinate care across primary care providers, specialists, behavioral health providers, and community staff Serve as the primary point of contact for residents, families, and care teams Identify, enroll, and manage residents within the Care Concierge program Develop and implement individualized, whole-person care plans Conduct routine follow-ups to monitor condition changes, adherence, and outcomes Provide behavioral health support and coaching (e.g., depression, anxiety) Support dementia care navigation for residents and fami

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.

What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.

Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of $59.81/hr ($124,405/yr). The typical range is $45.69 – $78.44/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
Houston Median $124,405/yr
Experienced (90th) $206,565/yr
vs. National Median +0.4%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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