Director of Nursing and Clinical Services

ScionHealth · Houston, TX Full Time
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Job Description

Education Bachelor's degree in healthcare administration, business administration, finance, or clinical specialty. Equivalent combination of education, training, and experience may substitute for education requirements. Licenses/Certifications Registered Nurse in the state. Current ACLS and BLS required. Experience Minimum of three years’ experience in healthcare administration/management. Minimum of three years’ experience in hospital management in an inpatient, acute care environment. Graduate level education may substitute on a year-to-year basis for the required experience. Kindred Hospital Houston Medical Center and Acute Rehabilitation Unit (ARU) provide specialized care for patients with complex medical needs. Our long-term acute care hospital (LTACH) offers advanced, hospital-level treatment for chronically and critically ill patients requiring extended stays. In addition, our Acute Rehabilitation Unit is dedicated to helping patients recover from the effects of acute injuries, impairments, or illnesses. With a focus on personalized care, both the LTACH and ARU collaborate with your physician to provide 24/7 clinical care, ensuring continuous support on your path to recovery. Job Summary Directs and coordinates functions and activities of nursing department and assigned clinical operation departments. Consults with and advises Administration on the general operation of the hospital. Develops nursing and clinical department’s goals, objectives, standards of performance, policies and procedures. Organizes nursing and clinical departments according to administrative and nursing service guidelines; ensures compliance with legal, organizational, and medical staff standards. Has authority and responsibility for establishing, directing, and implementing the Standards of Nursing Practice and the clinical operations and financial matters related to all nursing and clinical care areas and functions. In a Network Market receives direction from and has a staff reporting relationship with the Network Market Sr CCO/CCO. Essential Functions Manages multiple subordinate department managers who supervise staff members in multiple departments that may include, but is not limited to\: Nursing, Quality Management, Social Services, Laboratory, Respiratory Therapy, Radiology, and Case Management. Responsible for the overall direction, coordination and evaluation of the subordinate units/departments. Evaluates the results of overall operations regularly and systematically and reports these results to the Administrator. Maintains a sound plan of corporate organization establishing policies to insure adequate management development and to provide for capable management succession. Develops and installs procedures and controls to promote communication and adequate information flow. Establishes operating policies consistent with the Administrator’s broad policies and objectives and ensures their execution. Ensures that the responsibilities, authorities, and accountability of all direct subordinates are defined and understood. Maintains an environment of collaboration and cooperation among hospital departments. M

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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 $57.69/hr ($119,995/yr). The typical range is $45.94 – $73.58/hr (25th–75th percentile).

Entry Level (10th) $72,987/yr
Houston Median $119,995/yr
Experienced (90th) $205,400/yr
vs. National Median +1.7%

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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