If you're a nurse with a passion for leading teams that deliver exceptional end-of-life care, AND you are driven to make a meaningful difference for individuals and families facing life’s final chapter, we would love to hear from you! At Houston Hospice, we believe that the heart of our organization are the people who work here. Since 1980, we’ve grown to become the oldest and largest independent nonprofit hospice in the Greater Houston area. What truly defines us is our commitment to walking alongside patients and their families during some of life’s most tender moments. Our mission is simple: to provide uncompromising, compassionate, end-of-life care to patients of all ages and their families. Serving the 13 counties that surround the Houston area, we are committed to being the highest quality hospice provider wherever we serve. We focus on caring, not curing. Our approach is grounded in teamwork and trust by bringing together skilled healthcare professionals who all share a common purpose: to bring those on our service comfort, dignity, and peace. Whether care is provided in a family’s home, in a long-term care facility, or in our IPU in the Texas Medical Center, our team is dedicated to meeting patients where they are, both physically and emotionally. Our doctors and nurses are experts in easing pain and managing complex symptoms of life-limiting illnesses. The work we do allows our patients and families to focus on what matters most: being together. Summary: We are seeking an experienced leader to oversee and guide an interdisciplinary team of nurses, home health aides, social workers, and chaplains serving the territory north of I-10. This role provides direct leadership and supervision, fostering a culture of collaboration, accountability, and excellence in patient-centered care. The ideal candidate will strategically coordinate and direct team activities to ensure efficient operations, strong team engagement, and high-quality outcomes. Responsibilities include ensuring consistent communication and care updates, upholding policies and procedures, and managing team performance and resources within budgetary guidelines. Key Responsibilities: Facilitate timely and complete admission, and continuing evaluation of patients for eligibility; assign staff to new admissions. Assure the Plan of Care is updated, executed and effective with appropriate visit frequency. Develop and promote positive relationships, acting as liaison between team members, patients, families, agency staff, and facilities to meet patient/family needs. Perform ongoing review/assessment of team documentation for comprehensiveness, appropriateness, consistency, regulatory compliance and outcomes. Review findings with team and execute plan of correction. Prepare for and facilitate scheduled IDT meeting. Provide consultation and education for staff, health providers and community. Maintain appropriate staffing pattern meeting productivity standards within established budgetary guidelines. Assist with orientation of new staff/students; oversee staff, providing communication, training as needed. Maintain required CEU credits according to established standards. Understands and adheres to organizational compliance and privacy programs. Assists in providing service that fosters the organization’s mission, values, vision and goals. Performs other duties as required and/or requested by management. Qualifications: Graduate of an accredited school of nursing with current RN license to practice in the state of Texas Bachelor’s degree in nursing preferred Home health, hospice or public health nursing experience Ability to supervise staff and coordinate services Five years minimum management experience, hospice/palliative experience preferred. Excellent organizational, administrative, interpersonal and communication skills Ability to multi-task, effectively Ability to accommodate multi-faith beliefs and backgrounds of patients/families Knowledge of applicable State/Federal laws governing hospice licensure Ability to travel to multi-work locations during workday Must have reliable vehicle, valid Texas Driver’s License and Liability Insurance PC experience Current CPR certification IND123 4pm Friday - 9am Monday
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General overview for this role type — specific duties and requirements vary by employer.
Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.
Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.
Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of
$48.00/hr ($99,840/yr).
The typical range is $39.37 – $55.77/hr
(25th–75th percentile).
Entry Level (10th)$74,859/yr
Houston Median$99,840/yr
Experienced (90th)$130,437/yr
vs. National Median+2.3%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.