Director of Nursing (DON) - Hospice

HOSPICE CARE PARTNERS · ARLINGTON, TX Full Time
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Job Description

Director of Nursing & Clinical Operations (DNCO) – Hospice Full-Time | Home & Facility-Based Care Location: Arlington, TX Service Area (DFW Metroplex) Lead from the Field. Build with Purpose. At Hospice Care Partners, we are not looking for a Director of Nursing who sits behind a desk. We are looking for a hands-on clinical leader who is visible in the field—supporting nurses, strengthening facility relationships, and ensuring that patient care is delivered at the highest level. As we grow, this role will be central to building a hospice team known for: Proactive care—not reactive Clear, consistent communication High accountability across every level of the team If you are looking for a traditional, office-based DON role, this is not the right fit. If you lead from the front, hold high standards, and take ownership of outcomes—we want to meet you. Role Overview The Director of Nursing & Clinical Operations (DNCO) is a Registered Nurse responsible for the overall leadership, performance, and quality of clinical services across both home and facility-based care. This is a field-engaged leadership role , combining: Clinical oversight Team development Operational execution Relationship management You will lead a multidisciplinary team including: RN Case Managers Hospice Aides Social Workers Chaplain/Bereavement Coordinators Volunteers You may also maintain a limited caseload as needed. What You’ll Do Lead and manage all clinical operations across home and facility settings Be present and visible in the field : Shadow RN visits Support staff in real-time patient care situations Engage directly with facility partners and referral sources Set and enforce standards for communication, accountability, and care delivery Ensure appropriate staffing, productivity, and case distribution Coach, develop, and hold clinical staff accountable to expectations Address performance issues early and directly Coordinate care across interdisciplinary teams, patients, families, and referral partners Monitor, analyze, and act on QAPI data to improve outcomes Ensure compliance with hospice regulations, documentation, and best practices Strengthen clinical performance in key facility partnerships (e.g., nursing homes) What Makes This Role Different You are not managing from a distance—you are leading in the field You will directly influence patient experience, team performance, and referral relationships This is a build-and-scale role , not a maintenance position You will help define the standard of care and communication for the organization Who You Are A strong clinical leader who leads by example—not just direction A proactive operator who solves problems before they escalate A confident communicator who can navigate difficult conversations with staff, families, and partners A decisive leader who addresses underperformance directly A team builder who creates accountability, trust, and consistency A mission-driven professional who balances clinical excellence with compassion Minimum Requirements Current, unencumbered Texas RN License 3 years hospice case management experience 1 years of hospice leadership/management expe

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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 — 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 — 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 — 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 — 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 — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

About This Employer

HOSPICE CARE PARTNERS is a Parent Agency located in ARLINGTON, TX at 2015 E LAMAR BLVD SUITE 100.

View Full HOSPICE CARE PARTNERS Profile → See all openings at HOSPICE CARE PARTNERS →

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 Parent Agency

2015 E LAMAR BLVD SUITE 100, ARLINGTON, TX 76006

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