Health Services Director

Bethesda Group · Carrollton, TX Full Time
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Job Description

Description Health Services Director Are you a seasoned LPN or RN with a passion for senior care? We're seeking a dynamic Director of Nursing to join our team and make a significant impact on the well-being and quality of life for our residents. As a key member of our senior living community, you will have the opportunity to lead our health services team, provide exceptional care, and create a nurturing and supportive environment for our residents. If you're looking for a challenging yet fulfilling career in senior care, we invite you to explore this exciting opportunity. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Recruits, screens, and selects care staff that are compassionate and desire to assist the elderly and disabled. Staffs the care unit(s) in a cost efficient manner while ensuring a high standard of care is provided. Leads the staff by providing expectations of performance and following up to ensure the expectations are met. Appraises the performance of care staff and personally reviews strengths, goals, and areas for improvement with them. Provides training to staff that encourages team performance, instructs them on technical and medical issues and policies and procedures. Monitors and assists with personal care of residents, including but not limited to bathing, dressing, oral hygiene, and shaving, toileting, ambulating and transferring. Assesses potential and current residents to ensure appropriate placement for their current level of care. Maintains current knowledge and implements policies and procedures in compliance with state and federal regulations. Forms and maintains a positive and informative relationship with residents and their families. Meets with families and residents to provide information and answer questions regarding residents care. Monitors all clinical records to ensure accurate, current and complete information in accordance with state and federal regulations. Is the clinical leader when meeting with State Regulatory Agencies. Assists Executive Director in development of Plans of Correction for clinical deficiencies as needed. Maintains and is responsible for the budget of the resident care unit(s). Ensures supplies, staff and equipment meet budgeted allocations. Maintains a professional appearance and demeanor that encourages a positive nurturing environment for the residents, families, vendors, and guests. Maintains a positive customer service environment and practices honesty and integrity in all aspects of performance. Is a positive role model for resident care staff. Represents the community in marketing and provides tours of the facility that show how the potential residents needs may be met. Maintains confidentiality of residents personal information in and out of the community and protects and supports residents rights. Communicates with residents, families, visitors and employees in a positive manner using excellent customer service skills. Ensures adequate daily coverage for meal service by communicating with the Culinary Services Director and/or Host/Hostess, t

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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.

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.

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