Director of Clinical Services (RN)

Cadre Hospice · Waxahachie, TX Full Time
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Job Description

Cadre Hospice is redefining what the end-of-life experience can and should be. We believe every patient deserves world class care that honors their dignity, comforts their family, and transforms one of life’s hardest moments into one marked by meaning, presence, and compassion. We serve communities across multiple states with a high-touch, people-centered care model grounded in clinical excellence, empathy, and an unwavering commitment to never compromising on quality. Our teams are selected and developed with intention because we believe the right people, supported the right way, create extraordinary care. Our goal is simple. Deliver an exceptional end-of-life experience, one patient at a time, and raise the standard of hospice care everywhere we serve. Fantastic leadership opportunity for a hospice Clinical Manager, Patient Care Manager, or RN-Case Manager with several years of hospice experience. The ideal candidate will have experience leading others and a passion for high-quality patient care. What are the benefits? We value our team members and offer a comprehensive benefit package designed to support your well-being, growth and work-life balance: Competitive pay and benefits including health insurance, disability and life insurance 401k retirement plan with a company match Generous Paid Time Off, Sick days, and 8 paid holidays Tuition reimbursement and Employee Referral bonus programs Flexible scheduling/autonomy – time to spend with patients Education and training programs; technology and mileage reimbursement ($.67/mile) End-of-Life Death Doula Certificate program for all employees Health/financial wellness programs Zen rooms for employees in every branch What are the job responsibilities? We are seeking an experienced and dedicated Director of Clinical Services (RN) to lead our clinical operations and ensure the delivery of exceptional hospice care services. The ideal candidate will have a strong background in hospice nursing and leadership roles, with demonstrated experience in managing patient care programs in new start environments. They will be responsible for overseeing all clinical aspects of the hospice program, including patient admissions, care planning, interdisciplinary team coordination, and regulatory compliance. The candidate will be open to travel as necessary within the designated area, and any other duties as assigned by leadership. Key responsibilities include: Leadership and Strategic Planning Clinical Operations Management Staff Management and Development Interdisciplinary Team Coordination Regulatory Compliance and Quality Assurance What do you need? RN licensure for the state of Texas Two-years of recent clinical experience in hospice or palliative care setting Clean driving record, and valid driver’s license and auto insurance Full Job Description can be provided upon request. Cadre Hospice is an equal opportunity employer and welcomes candidates from diverse backgrounds to apply.

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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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