USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Home Therapy Clinical Coordinator is responsible for assisting with management and operation of designated Home Therapies program(s). This position assumes full responsibility for the program(s) in the absence of the Administrator. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. Work with Administrator to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements, in relation to home dialysis program and patient care requirements. Assist Administrator with development, implementation and follow up of Corrective Action Plans required for internal and external surveys. May assume Home Therapy Nurse's responsibilities as needed. Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff as delegated. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly as delegated. Assure that Quality Assessment & Performance Improvement Program is current at all times as delegated. Oversee patient (and/or care partner) training in the practice of Peritoneal Dialysis or Home Hemodialysis. Ensure proper infection control monitoring, implementation, and recording.Assist in on-call system oversight for patients and ensure patients have access to nursing support at all times. Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. Responds to all emergencies in program. Familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home staff, patients and Interdisciplinary Team Members. Provide communication of overall results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. Assists with maintaining effective personnel management and employee relations, including evaluating the performance of all personnel and counseling employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicate expectations; accept accountability and hold others accountable for performance RN CHARGE NURSE STATE SPECIFIC REGULATIONS Maryland Have six (6) months experience in dialysis. Texas Be a registered nurse with at least twelve (12) months of clinical experience and have six (6) months experience in dialysis subsequent to completion of the facility's training program. The dialysis experience shall be within the last twenty-four (24) months. Possessing a current certification from a nationally recognized board in nephrology nursing or dialysis may be substituted for the six (6) months experience in dialysis obtained within the last twenty-four (24) months.
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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 DFW 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 DFW 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.
DFW Area Salary Data
According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the DFW metroplex area earn a median wage of
$58.48/hr ($121,638/yr).
The typical range is $44.34 – $75.25/hr
(25th–75th percentile).
Entry Level (10th)$65,520/yr
DFW Median$121,638/yr
Experienced (90th)$204,838/yr
vs. National Median-1.8%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area).
Salary data provided by DFW Senior Living Guide.