Are you a passionate nursing leader with a heart for compassionate end-of-life care? We are looking for an experienced and dedicated Director of Nursing to lead our hospice clinical team and make a meaningful difference in the lives of patients and families during life's most important moments. About the Role The Hospice Director of Nursing (DON) provides overall clinical leadership, supervision, and management of hospice nursing services. You will ensure the delivery of high-quality, patient-centered care while maintaining compliance with federal, state, and accreditation standards. This is a leadership role with significant impact - guiding an interdisciplinary team, driving quality improvement, and championing compassionate care at every level. What You'll Do Clinical Leadership Direct and oversee all hospice clinical services Ensure delivery of compassionate, evidence-based end-of-life care Monitor patient care plans and clinical outcomes Lead and participate in interdisciplinary team (IDT) meetings Ensure timely completion of assessments, care plans, and clinical documentation Staff Management Recruit, hire, train, mentor, and evaluate clinical staff Conduct performance reviews and competency assessments Maintain appropriate staffing levels to meet patient care needs Foster a positive, collaborative, and patient-focused team culture Regulatory Compliance Ensure compliance with Medicare Conditions of Participation (CoPs), Texas regulations, and hospice standards Prepare for surveys and audits conducted by regulatory agencies Monitor documentation for accuracy and regulatory compliance Quality Assurance & Performance Improvement (QAPI) Lead QAPI activities and track quality metrics Review incident reports, patient complaints, and adverse events Develop strategies to improve patient satisfaction and clinical outcomes Operations & Leadership Collaborate with leadership on census growth and operational goals Assist with budgeting and resource management Participate in administrative on-call rotation and provide after-hours clinical guidance What We're Looking For Education & Licensure Graduate of an accredited nursing program (BSN preferred) Current Texas Registered Nurse (RN) license in good standing Valid driver's license and reliable transportation Experience Minimum 3 years of hospice nursing experience required Minimum 2 years of leadership or management experience preferred Strong knowledge of Medicare hospice regulations and Conditions of Participation Experience with electronic medical records and hospice documentation systems Skills & Attributes Exceptional leadership and team-building skills Strong clinical assessment and decision-making abilities Excellent communication and interpersonal skills Ability to manage multiple priorities in a fast-paced environment Deep commitment to compassionate, dignified end-of-life care What We Offer Competitive salary Performance bonus opportunities Health, dental, and vision insurance Paid time off (PTO) and paid holidays 401(k) Continuing education opportunities Mileage reimbursement Why Join Our Team? We are committed to providing compassionate, dignified care to patients and families at every step of their journey. Our team is driven by purpose - and we support each other with the same care and respect we give to those we serve. If you are a nursing leader who shares our mission and values, we want to hear from you. Apply today and join a team where your leadership truly matters.
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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.
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.