Unit Manager/ Clinical Reviewer

THE ASSISTED LIVING AT ST. DOMINIC VILLAGE · HOUSTON, TX Full Time
$109424 – $109424 / year
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Job Description

Job Summary The Nurse Unit Manager/ Clinical Reviewer is responsible for the overall direction, coordination, and evaluation of nursing care and operations within one unit of our long-term care facility. This role involves maintaining high standards of resident care, leading and mentoring the nursing team, managing unit resources, and ensuring continuous regulatory compliance, reading clinicals and approving prospective residents for admission. The ideal candidate is a strong clinical expert and a dynamic, empathetic leader committed to improving the quality of life for our residents. Key Responsibilities Clinical Oversight: Ensure the delivery of safe, competent, and compassionate care by conducting daily rounds, performing resident assessments, and monitoring the effectiveness of care provided. Clinical review: Read clinicals for prospective residents in a timely manner, and make determination if resident is appropriate for admission. Care Planning: Collaborate with an interdisciplinary team to develop, implement, and update individualized care plans, ensuring all changes in residents' conditions are documented and addressed in a timely manner. Staff Management: Provide strong leadership and supervision to LPNs, CNAs, and other support staff. Duties include recruitment, orientation, scheduling, performance evaluations, ongoing instruction, and disciplinary action as needed. Compliance and Quality Assurance: Ensure the unit consistently meets all federal and state regulatory standards (e.g., CMS guidelines) and facility policies. Participate in quality improvement programs and address/resolve identified issues. Communication & Liaison: Serve as a primary point of contact for residents and their families, addressing concerns and providing updates on resident conditions. Maintain effective communication with physicians and other department heads to Administration: Manage and oversee the unit medical supply inventory, audit charting and medical forms, and maintain accurate records. Medication Management: Oversee the safe storage, administration, and recording of all medications prescribed by medical practitioners. Staffing: Work collaboratively with staffing coordinator to ensure proper staffing of the unit including working the floor in emergency situations. Qualifications Education: Graduate of an accredited school of nursing. License: A current, active Registered Nurse (RN) license in the State of Texas is required. We will consider a Licensed Vocational Nurse ( LVN) with appropriate experience. Experience: A minimum of 2-3 years of clinical nursing experience, with at least one year in a supervisory or management role within a long-term care or skilled nursing facility, is highly preferred. Certifications: Basic Life Support (BLS) certification is required. Additional certifications such as the Certified Nurse Manager and Leader (CNML) or Gerontological Nursing Certification can be beneficial. Required Skills & Abilities Excellent leadership, organizational, and time management skills. Strong clinical assessment, critical thinking, and problem-solving abilities. Exceptional verbal and written communication skills, with a professional and calm demeanor. Proficiency in using electronic medical records (EMR) and standard office software. Knowledge of state and federal health regulations and an understanding of the survey process. Ability to prioritize tasks, delegate effectively, and work collaboratively within an interdisciplinary team. Commitment to the highest quality of service, demonstrating empathy and a positive attitude toward residents, families, and staff. PHYSICAL AND OTHER REQUIREMENTS OF THE POSITION Have the flexibility to bend/stoop, squat repetitively during shift. Have the ability to regularly kneel repetitively during shift. Have the ability to move in a 90-degree fashion on a repetitive basis during shift. Have the ability to stretch/reach on a repetitive basis during shift. Have the ability to walk extensively throughout the shift. Have the ability to interact verbally with all staff and residents in a professional and friendly manner despite periods of stress. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

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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.

About This Employer

THE ASSISTED LIVING AT ST. DOMINIC VILLAGE is a Assisted Living — TYPE B located in HOUSTON, TX at 2401 HOLCOMBE BLVD.

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Employer profile provided by Houston Senior Living Guide

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.

Facility Snapshot

Flood Zone X
Facility Type Assisted Living — TYPE B

2401 HOLCOMBE BLVD, HOUSTON, TX 77021

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