RN Clinical Manager - ProHealth Home Health (Addison, TX)

ProHealth Home Health & Hospice · Addison, TX Full Time
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Job Description

JOB SUMMARY : The Director of Clinical Services/Clinical Manager is a Registered Nurse (RN) who has graduated from an accredited school of nursing and is currently licensed to practice in the state(s) where currently practicing. The Director of Clinical Services/Clinical Manager may also be a licensed physician, physical therapist, speech-language pathologist, occupational therapist, audiologist or social worker. She/he supervises home health services to homebound patients in their place of residence in accordance with attending physician orders and plans of care and strives to provide the highest quality of care. If an RN, skilled nursing and other therapeutic services are under the supervision and direction of the Director of Clinical Services/Clinical Manager. If an RN, the Director of Clinical Services/Clinical Manager is available at all times during operating hours (or appoints a similarly qualified alternate) and participates in all activities relevant to professional services furnished, including the development of qualifications and assignment of personnel. QUALIFICATIONS : 1. Registered by the state(s) where currently practicing. 2. Three to five years of experience in health care/home care, preferred. 3. Two years’ experience in a supervisory position, preferred. 4. Knowledge and ability to apply community health principles and practices. 5. Knowledge of Agency policies and procedures. 6. Ability to supervise, guide, and develop skills and performance of service personnel. 7. Ability to exercise independent judgment. 8. Ability to work with individuals. 9. Ability to enlist the cooperation of many people in furthering a program. 10. Ability to assist in evaluating personnel per Agency policy. 11. Monitors the probationary period for new employees. 12. Ability to deal effectively with high levels of stress. RESPONSIBILITIES : 1. Participates in developing standards that ensure safe and therapeutically effective service to patients and families. Has joint responsibility with the Administrator for seeing that standards are met. 2. Participates in developing objectives for the Agency. 3. Is responsible for seeing that objectives are implemented. 4. Consults with the Administrator to determine a staffing pattern that will accomplish stated objectives and promote the maximum level of utilization of health personnel. 5. Is responsible for recruiting, hiring, evaluating, and terminating service personnel. 6. Participates in planning for the orientation of new employees. Conducts selected orientation classes. 7. Plans and arranges for consultation needs of staff; prepares and maintains current policies and procedures which meet Medicare, Medicaid, accrediting bodies, state, etc. laws and implements such; revises concurrently. 8. Displays a willingness to support the policies and procedures and uses appropriate channels for change of such policies; establishes criteria and procedures for selection, promotion, and termination of employment of service personnel. 9. Participates in establishing the functions and qualifications for each service position, and coordinates patient care and referrals

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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.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

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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