Unit Manager

Paradigm Healthcare · Houston, TX Full Time
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Job Description

Description Calling all candidates who want to be part of a fun and growing team! We are a skilled nursing facility seeking a motivated LVN or RN to join the Paradigm Healthcare team as Unit Manager. You deserve good pay. You deserve good benefits. You deserve to work in a place where your voice matters. If you agree, Paradigm is the place for you! Job Duties Perform duties as described in the Nurse – RN or LVN Job Description, as applicable Assist the Director of Nursing and nursing administration to supervise nursing staff to ensure quality nursing care is provided to all residents. Supports and practices the philosophy, nursing objectives and standards of the Nursing Department. Assist the Director of Nursing in providing in-services and staff development to nursing staff in order to meet quality of care standards and comply with state and federal regulations. Provide clinical expertise to facilitate and supervise quality of care. Identify safety concerns and takes appropriate actions to assure patient safety. Perform other duties as assigned by the Director of Nursing and/or the Administrator. Make regular rounds on nursing units and on all shifts to assess performance of nursing staff and monitor the quality of care provided to residents. Assist in developing and/or complying with policies aimed to ensure nursing department compliance with all federal, state and local regulations. Participate in internal audits of nursing practices and in developing and implementing a plan of correction when deficits are identified. Participate in ensuring all facets of the nursing budget are within established parameters. Participate in the quality assessment and improvement process and activities, including monthly audits of MD orders. Assist the Director of Nursing in ensuring that the nursing department is adequately staffed to provide quality care to residents, as directed by Director of Nursing and/or Administrator, by assisting with: Establishing and facilitating effective employer/employee relations. Recruiting and selecting nursing service personnel based on facility need. Ensuring forms and processes related to hiring are completed for new employees. Ensuring staffing of the nursing department is at a level congruent with resident needs, budgeted positions and employee requests. Scheduling nursing manpower to support individual and group activities for residents outside the facility. Participating in orientation sessions for nursing service personnel. Evaluating performance for all levels of nursing service personnel. Participating in β€œon-call” schedule for nursing supervisory personnel to ensure 24/7 nursing support for staff nurses. Assist in ensuring a safe and sanitary environment for residents, employees and visitors. Participates in development and implementation of a program to ensure a safe environment for residents, staff and families. Investigates all nursing department employee accidents in accordance with procedures outlined in the facility's safety standards. Monitors and reviews resident incidents to identify possible compliance issues and to identify patterns that might require pr

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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 β€” 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 β€” 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 β€” 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 β€” 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 β€” 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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