Director of Nursing

Nexus Health Systems•San Antonio, TX

7d•Onsite

About The Position

Nexus Neurorecovery Center – San Antonio is seeking an experienced, compassionate Director of Nursing to lead nursing services at a specialized residential treatment center for adolescent females with complex behavioral health and co-occurring medical needs. The center provides individualized treatment in a structured, therapeutic environment focused on recovery, growth, and successful community reintegration. Under the general supervision of the Chief Executive Officer, the Director of Nursing is responsible for the overall leadership, administration, and strategic direction of the Nursing Department. The role ensures high standards of patient care, regulatory compliance, staff development, quality improvement, and operational excellence. As a member of the executive leadership team, the Director of Nursing exercises independent judgment, maintains accountability for nursing services, and is available for on-call responsibilities as needed.

Requirements

At least two years of direct patient care experience.
Leadership experience in nursing management or healthcare operations.
Current Registered Nurse (RN) license in the State of Texas.
Current AHA Basic Life Support (BLS) certification.
Current AHA Advanced Cardiovascular Life Support (ACLS) certification.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
Behavioral health, residential treatment, pediatric, adolescent, or specialty healthcare experience strongly preferred.

Responsibilities

Establish and maintain high standards of nursing practice and patient care.
Lead clinical discussions with physicians, nurses, and interdisciplinary team members; promote evidence-based practice and support clinical decision-making.
Ensure safe, effective, and compassionate care delivery; review patient satisfaction feedback and implement improvements based on trends.
Support the development and implementation of patient care programs and clinical initiatives.
Participate in emergency preparedness planning, including fire, disaster, evacuation, security, and utility management programs.
Provide leadership, mentorship, and development for nursing leaders and staff; conduct annual performance evaluations and support professional growth.
Collaborate with Human Resources to recruit, retain, and develop nursing talent, and ensure staffing levels meet patient care needs.
Oversee staff competencies, certifications, licensure, and educational requirements; communicate organizational priorities and strategic goals to nursing personnel.
Participate in on-call leadership coverage and ensure appropriate departmental coverage when unavailable.
Develop and manage the annual Nursing Department budget; monitor financial performance and productivity metrics; prepare and present monthly budget variance and operational reports.
Evaluate the financial impact of clinical quality indicators and operational initiatives and participate in strategic planning and organizational growth initiatives.
Ensure compliance with federal, state, regulatory, and accreditation standards.
Lead quality improvement initiatives and collaborate with Quality and Compliance leadership on performance improvement projects.
Review incident reports and identify trends requiring intervention; support infection prevention, patient safety, risk management, and regulatory readiness.
Maintain nursing practices that support hospital licensure and accreditation requirements.
Serve on hospital committees, including Quality, Infection Control, Pharmacy & Therapeutics, and Medical Staff Committees.
Foster collaboration across departments and represent the facility with community organizations, healthcare partners, vendors, and regulatory agencies.
Build positive relationships with patients, families, staff, physicians, and external stakeholders.