Director of Clinical Services (RN) Home Health

ADAPTIVE HOME HEALTH · Richardson, TX Full Time
Apply Now →
What About Senior Care? Less Hours. Ongoing Patient Relationships. Explore Senior Care Jobs →

Job Description

We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today. Compensation: $ 90K-$125K/Salary The Opportunity We are looking for a Director of Clinical Services who can lead clinical execution with high standards and high intensity. This is not a passive “clinical support” role. You will own day-to-day clinical coordination and quality , ensuring that: Patients receive the right care at the right time Clinicians are supported, coached, and held to clear expectations Changes in condition are identified early, escalated appropriately, and documented thoroughly Care plans, orders, and clinical documentation are accurate, timely, and compliant You will partner closely with operations and scheduling to keep care delivery on track, and you will be a key leader in how we scale safely. What You’ll Do 1. Own clinical execution for your branch Monitor clinical status across active patients and ensure timely follow-up when a patient’s condition changes Coordinate next steps after clinical events (new symptoms, missed visits, safety concerns, hospitalizations, discharges) Ensure care plans are clear and actionable for field clinicians, with appropriate coordination of orders and plan updates Maintain high standards for clinical documentation quality and timeliness 2. Lead and develop field clinicians Coach clinicians on clinical reasoning, visit planning, patient education, and documentation quality Set and reinforce expectations for reliability, professionalism, and patient experience Address performance issues quickly and fairly, including structured improvement plans when needed Support onboarding and skill development to raise clinical consistency across the team 3. Drive quality, safety, and compliance through systems Identify recurring clinical and documentation issues and implement process improvements Support quality assurance activities by ensuring clinical work meets standards before downstream review 4. Be an escalation leader Serve as a calm, decisive escalation point for clinical questions and patient risk Know when to intervene directly and when to empower field staff with guidance Coordinate with leadership on high-risk cases, incidents, and sensitive patient situations Who You Are A high-accountability clinical leader who loves building systems and developing people. You bring urgency, clarity, and standards to complex clinical operations. Must-haves Ability to coach, mentor, and train clinical staff Strong clinical judgment and a structured approach to prioritization and escalation A strong sense of personal accountability. You must take ownership of clinical outcomes through your clinical staff. Ability to communicate clearly across clinical and operational teams How you work Owner mindset: You prefer accountability over recommendatio

This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.

View Full Job Details & Apply →
Don’t have a resume yet?

Build a free, ATS-optimized resume in 30 seconds — tailored for this Nursing role. No account required. What is an ATS-optimized resume?

Build My Resume →

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.

About This Employer

ADAPTIVE HOME HEALTH is a Branch Agency located in Richardson, TX at 1410 E. Renner Rd., Suite 210.

View Full ADAPTIVE HOME HEALTH Profile → See all openings at ADAPTIVE HOME HEALTH →

Employer profile provided by DFW Senior Living Guide

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.

Facility Snapshot

Facility Type Branch Agency

1410 E. Renner Rd., Suite 210, Richardson, TX 75082

View Full Agency Profile →

Similar Positions

Not the right fit? Answer 3 quick questions and we’ll rank open positions by how well they match your role, area, and pay range.
Find Your Best Match →

AI Job Assistant

Get instant answers about this role, salary expectations, certifications, or this employer's background.

← Browse All Jobs