Director of Clinical Services

Guardian Healthcare · Richardson, TX Full Time
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Job Description

JOB SUMMARY: The Director of Clinical Services (DCS) is responsible for the overall direction of hospice clinical services. The DCS establishes, implements, and evaluates goals and objectives for hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy. DUTIES & RESPONSIBILITIES: Ensures Agency compliance with all applicable state and federal home health laws and regulations. Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel. Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of hospice care services, provided through organization personnel. Assists Clinical Supervisors in managing clinical teams and planning. Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated. Assists the Executive Director/Administrator in the preparation and administration of the organization's budget. Interprets operational indicators to detect census changes and increases or decreases in volume that could impact staffing levels, revenues or expenses. Evaluates performance of Clinical Supervisors. Assists Clinical Supervisors to develop skills and techniques in evaluating the performance of clinicians. Hires, evaluates, and terminates organization personnel. Conducts annual evaluations on clinicians, or more frequently if indicated. Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities. Assures proper maintenance of clinical records in compliance with local, state and federal laws. Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services. Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, directly or delegated. Plans and implements in-service and continuing education programs to meet education and training needs of organization personnel. Assists with the evaluation of organization performance via quality assessment performance improvement program, productivity, quarterly and annual reviews. Assures for the quality and safe delivery of hospice services provided through the Organization. Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures. Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and, maintains compliance to the Joint Commission Home Care standards. Stays informed about changes in the field of nursing and hospice care; shares information with appropriate organization personnel. Promotes hospice referrals in the health care community. In the absence of the Executive Director/Administrator, the Clinical Director will become the acting Executive Director/Administrator and will be vested with authority to act in behalf of

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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 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.

About This Employer

Guardian Healthcare is a Branch Agency located in Richardson, TX at 1500 N Greenville Ave, Ste 270.

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Employer profile provided by DFW Senior Living Guide

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.

Facility Snapshot

Facility Type Branch Agency

1500 N Greenville Ave, Ste 270, Richardson, TX 75081

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