Director Clinical Operations - RN (Director of Nursing)

HT Executive Search · Grand Prairie, TX Full Time
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Job Description

Director of Clinical Operations - RN (Director of Nursing), Hospice Care Introduction: Our client, a respected leader in hospice care, is seeking a compassionate and experienced Director of Clinical Operations (Director of Nursing, RN) to lead its clinical team in delivering exceptional end-of-life care. This is an outstanding opportunity to guide a dedicated group of professionals in delivering care centered on dignity, compassion, and excellence during life’s most meaningful moments. Key Responsibilities: - Provide leadership, mentorship, and direction to a team of hospice clinicians, including nurses and clinical staff. - Oversee and coordinate daily clinical operations to ensure delivery of the highest quality care. - Foster a collaborative and supportive team culture that aligns with the organization’s mission and values. - Partner with interdisciplinary teams to deliver holistic, patient- and family-centered hospice care. - Maintain compliance with all relevant federal, state, and local regulations as well as industry best practices. - Monitor organizational quality metrics and spearhead continuous quality improvement initiatives. - Support staff development through education, training, and professional growth opportunities. - Participate in strategic planning and organizational development initiatives. - Lead by example, stepping in to provide clinical or operational support as needed. Requirements: - Active Registered Nurse (RN) license in Texas. - RN required, BSN Preferred - Minimum of 3–5 years’ experience in hospice or post-acute setting. - At least 2 years of leadership or management experience within clinical operations. - In-depth knowledge of relevant hospice regulations, accreditation, and compliance standards. - Demonstrated expertise in communication, team leadership, and organizational management skills. - Strong critical thinking, problem-solving abilities, and a commitment to clinical excellence. - Preferred: Experience in scaling or growing hospice programs and cultivating high-performing teams. Benefits: - Competitive salary commensurate with experience. - Comprehensive benefits package, including medical, dental, vision, and retirement plans. - Supportive, collaborative organizational culture emphasizing teamwork and shared mission. - Professional growth and continuing education opportunities. - Meaningful work that allows you to make a true difference in the lives of patients and their families. Join a mission-driven organization where you can lead with compassion, elevate clinical standards, and shape the future of hospice care.

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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.

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 DFW 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 DFW 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.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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