Director of Nursing - Full Time


1. Patient Care Services

  •  Collaborate with physicians, nurses and allied health staff regarding clinical care delivery.
  •  Follow up and address patient complaints in a timely manner.
  •  Facilitate critical thinking at the bedside.
  •  Provide direct patient care (either by being included in staffing count or carrying out other activities, e.g.,
  • vital signs, giving meds, IV therapy, responding to code, etc.).
  •  In collaboration with CCO, develop department specific audits to address documentation and patient care
  • issues.
  •  Conducts walking rounds to assess unit environment and staff issues.
  •  Address physician complaints in a timely manner.
  •  Ensure patient rooms are ready for each new patient admission.

2. Staff Management and Development

  •  Review resumes and set up interviews with qualified candidates to assess candidate fit.
  • Collaborate with CCO to write and deliver annual staff evaluations.
  •  Collaborate with Director of Education to train and orient new hires.
  •  Assesses skill levels of staff when planning and coordinating the delivery of patient care. Coach staff as
  • they deliver patient care.
  •  Collaborate with CCO and Director of Human Resources to prepare and deliver disciplinary actions.
  •  Ensure all staff have up-to-date competencies, certification, and registration.
  •  Conduct monthly staff meetings with nursing department.
  •  Available on call 24/7. Arrange for appropriate coverage when unable to be on call.
  •  Ensures nursing documentation meets state, federal, and accrediting agency standards.

3. Business and Financial Operations

  • Review and approve payroll data.
  •  Review productivity data and discuss variances with CCO.
  •  Collect data regarding unit financial performance against allocated budget.
  • Provide input for the development of the nursing department budget.
  • Assist in the development and implementation of strategies to ensure productivity goals are met.
  • Assist in communicating department based productivity plans to department personnel in a positive and supportive manner.

4. Quality Improvement

  • Collect data on department performance indicators.
  • In collaboration with CCO, write action plans related to department quality improvement projects. 
  • Demonstrates knowledge of licensing standards and regulations as they pertain to nursing. 
  • Assist CCO in ensuring nursing department policies and procedures are current and are reviewed on an annual basis.

5. Daily Department Operations

  • Participate in hospital-wide committees or task force. 
  • Coordinate, prepare for, and manage routine staff meetings. 
  • Oversee general patient admissions, transfers and discharge from hospital.
  • Review schedule daily to assess census, call in extra staff and deal with staffing emergencies in collaboration with Staffing Coordinator. 
  • Ensure safe work environment for staff. 
  • Ensure appropriate equipment is available and functional on unit.

6. Performs other duties as assigned


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Job Requirements


  • Minimum two (2) years of director level nursing management experience required
  • · Preferred experience in a pediatric hospital setting.

Education Required

  • Must be licensed Registered Nurse in the State of Texas.
  • Master’s degree required.

Additional Information


  •  Must be certified in BLS /ACLS / PALS.
  •  Must be licensed in the state of Texas.
  •  SAMA certified or must obtain within 90 days of hire

All Nexus Health Systems employees will need to meet the requirements outlined in the Centers for Medicare & Medicaid Services (CMS) interim final rule requiring all workers in most health care settings that participate in the Medicare and Medicaid programs to be fully vaccinated against COVID-19. The rule is effective November 5, 2021. Under the regulation, all eligible workers of Nexus Health Systems must be fully vaccinated by January 4, 2022.