Medical Day Center Director of Nursing - The Colony

VIVA Pediatric Healthcare · Richardson, TX Full Time
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Job Description

Join VIVA Pediatrics - Where Passion Meets Purpose! VIVA Pediatrics is a home health services company with a specialty in private duty nursing, therapy, skilled nursing visits and medical day centers for infants and children. We are committed to providing each patient with an exceptional level of care. Here, you're not just a number, you're a valued member of our patient-centered community. Experience a work environment where quality care triumphs and your voice matters. The Director of Nursing is a full-time, licensed registered nurse responsible for overseeing all clinical services at the Medical Day Center (PPECC). This role ensures the safe, high-quality delivery of pediatric care to medically fragile children and supervises the day-to-day operations of the nursing and direct care teams. The DON works collaboratively with interdisciplinary staff and families, ensures compliance with state and federal regulations, maintains appropriate staffing levels, and supports professional development for all clinical staff. This position is vital to maintaining the overall effectiveness, safety, and regulatory compliance of the center. Responsibilities: • Supervise all aspects of a minor’s Plan of Care to ensure care is delivered as ordered • Lead and evaluate all professional and direct care clinical staff to ensure compliance with accepted nursing standards and PPECC regulations • Ensure compliance with federal, state, and local laws, rules, and policies related to PPECC services • Supervise daily clinical operations and serve as a liaison to the interdisciplinary team • Monitor and ensure timely documentation of clinical services, daily logs, and census • Ensure documentation of and compliance with required staffing ratios • Implement staffing policies that ensure only qualified, licensed staff are hired and retained • Verify and maintain records of licensure, CPR, certifications, and competencies • Implement and enforce clinical policies and procedures to support quality care • Coordinate onboarding and in-service education for all nursing and direct care staff • Conduct annual performance evaluations for the clinical team • Participate in committees, planning meetings, and IDT coordination • Monitor care delivery to ensure it is safe, compassionate, and effective • Identify QA/PI issues and lead process improvement initiatives • Respond to emergencies and lead clinical incident investigations as needed • Participate in networking and outreach meetings with hospitals, pediatricians, and community-based providers to support pediatric referrals and enhance collaborative care planning. Requirements: • Bachelor’s or Associate’s Degree in Nursing • Current, unencumbered RN license under Texas Occupations Code, Chapter 301 • At least two years of supervision and management in a pediatric setting caring for medically fragile children • Experience in one of the following settings: ➢ Pediatric ICU, NICU, pediatric ER, pediatric home health/hospice, pediatric surgery, or pediatric hospital unit • Completion of the HHSC-required “Overview of Prescribed Pediatric Extended Care Center Licensing Standards in Texas” course • Certification in CPR or Basic Cardiac Life Support Benefits: 401(k) Dental insurance Disability Insurance Employee assistance program Cell Phone Reimbursement Flexible schedule Health Insurance Life Insurance Paid time off Vision insurance Voluntary insurance (accident & critical illness) Join us at VIVA Pediatrics, where your career is more than a job - it's a journey of growth, support, and purpose. Apply now and be a part of a team that's making a difference, one child at a time!

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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

VIVA Pediatric Healthcare is a Parent Agency located in Richardson, TX at 275 W. Campbell Rd, Ste 400.

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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 Parent Agency

275 W. Campbell Rd, Ste 400, Richardson, TX 75080

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