Executive Director

HEART TO HEART HOSPICE OF TEXAS LTD · CARROLLTON, TX Full Time
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Job Description

Executive Director What You Must Have: Be a licensed physician, RN, licensed social worker, licensed therapist, or licensed nursing home administrator with at least year of management or supervisor experience in a health-related setting, and an additional year of experience in a health related setting, such as stated under Experience; or have at least a high school diploma or a general equivalency degree with at least two years of management or supervisory experience in a health related setting, such as a home and community support services agency, hospital, nursing facility, hospice, outpatient rehabilitation center, psychiatric facility, or a licensed health care delivery setting providing services for individuals with functional disabilities. Bachelor’s degree or equivalent experience and knowledge in hospice or healthcare operations and sales management At least 3 years of progressive experience managing operations in healthcare, hospice preferred Demonstrated ability to supervise and direct management personnel Understanding of business processes and systems that support the healthcare industry Experience in changing organizational processes to implement standard methods and practices Must have an outstanding interpersonal, communication and presentation skills along with a strong executive presence Knowledge of business management and a working knowledge of the Medicare Hospice Benefit preferred Experience with EMR/Customer Relationship software is a plus Current State Driver's License, reliable transportation and provide ongoing valid and current auto liability insurance Full Time Employee Benefits Competitive Salary Company Car for qualifying individuals Medical, Dental & Vision insurance Paid Time Off Paid holidays 401k with up to 4% employer matching - 100% vested Tuition reimbursement Essential Duties Organize and direct Agency's ongoing functions, including operational and organizational planning, budgeting and monitoring progress toward operational and strategic goals Ensure interdisciplinary care is provided while ethical business and clinical practice are maintained Direct staff in performance of duties including admission, discharge, transfer, revocation and provision of services to patients Employ qualified personnel and ensure adequate staff education and evaluation, including orientation, in-service, continuing education, competency testing and performance improvement. Ensure appropriate staff supervision during all service hours and ensure support services are available to staff Maintain knowledge of service systems in the community served by the agency and ensuring services provided are approved by the hospice Ensure Agency operates in compliance with federal and state law Manage conflict and complaint resolution Implement and monitor effective budgeting and accounting system that promotes the health and safety of the agency's patients and monitors business operations to ensure financial stability Evaluate program, services and personnel Performance of other duties as required Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures

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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

HEART TO HEART HOSPICE OF TEXAS LTD is a Parent Agency located in CARROLLTON, TX at 1406 HALSEY WAY STE 110.

View Full HEART TO HEART HOSPICE OF TEXAS LTD Profile → See all openings at HEART TO HEART HOSPICE OF TEXAS LTD →

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

1406 HALSEY WAY STE 110, CARROLLTON, TX 75007

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