Executive Director, Pediatric Home Health

Sunshine Pediatric Day Center•Dallas, TX

7d•Onsite

About The Position

The Executive Director directs the business and clinical-operational functions of Sunshine Pediatric Day Center's Private Duty Nursing (PDN) program, which provides skilled in-home nursing care to medically and technologically dependent pediatric clients under a Texas Home and Community Support Services Agency (HCSSA) license. The role serves as the agency's designated Administrator under 26 TAC §558.243, with day-to-day management and administrative responsibility for the PDN program and responsibility for continuous compliance with Texas Health & Safety Code Chapter 142, 26 TAC Chapter 558, and applicable federal, state, and payer requirements. This is an on-site position at the agency's licensed place of business. The Executive Director oversees client intake, physician plan-of-care authorization, and coordination of pediatric private duty nursing in clients' homes. The role directs scheduling, staffing, assignment, and competency validation for RNs and LVNs providing care, including tracheostomy, ventilator, G-tube, and suctioning care, and partners with the Supervising Nurse / Director of Nursing on clinical oversight, supervisory visits, and plan-of-care compliance. The position requires management or supervisory experience in a health-related setting and pediatric clinical experience with medically or technologically dependent minors. The administrator must complete HHSC initial administrator training within the required timeframe and complete annual continuing education. CPR/BLS certification is required; PALS is preferred. An active, unencumbered Texas RN license, PDN or HCSSA leadership experience, knowledge of Texas Medicaid authorization processes, survey experience, a BSN or higher, and English/Spanish bilingual ability are preferred.

Requirements

At least one year of management or supervisory experience in a health-related setting, such as a HCSSA, hospital, nursing facility, hospice, outpatient rehabilitation center, or comparable licensed health care delivery setting, satisfying 26 TAC §558.244(a)(1)(A).
Pediatric clinical experience caring for medically or technologically dependent minors, such as patients requiring tracheostomy, ventilator, G-tube, and suctioning care.
Current CPR / BLS certification.
Complete HHSC initial administrator training under 26 TAC §558.259 within the required timeframe and 12 clock hours of continuing education annually under 26 TAC §558.260.
On-site availability at the agency's licensed place of business during operating hours.
HCSSA regulatory knowledge, survey readiness, and documentation accuracy.
Clinical judgment in pediatric high-acuity and technology-dependent home care.
Staff supervision, delegation, and coordination of a distributed in-home nursing workforce.
Family communication and trauma-informed care.
Operational, budget, and authorization/utilization management.
Data-driven decision-making and quality improvement.

Nice To Haves

Pediatric Advanced Life Support (PALS) certification.
Active, unencumbered Texas RN license under Texas Occupations Code Chapter 301, or a multistate/NLC privilege to practice in Texas, with no disciplinary action.
Prior PDN, pediatric home health, or HCSSA administrator / alternate administrator experience.
Working knowledge of Texas Medicaid PDN and STAR Kids managed care authorization processes.
Experience leading HHSC surveys and corrective action plans.
BSN or higher.
Bilingual English/Spanish.

Responsibilities

Serve as the agency's designated Administrator under 26 TAC §558.243, with day-to-day management and administrative responsibility for the PDN program.
Ensure ongoing compliance with Texas Health & Safety Code Chapter 142, 26 TAC Chapter 558, and applicable federal, state, and payer requirements.
Oversee client intake, physician plan-of-care authorization, and coordination of skilled private duty nursing for pediatric clients in the home.
Direct scheduling, staffing, assignment, and competency validation of RNs and LVNs delivering in-home PDN, including tracheostomy, ventilator, G-tube, and suctioning care.
Partner with the Supervising Nurse / Director of Nursing on clinical oversight, supervisory visits, and plan-of-care compliance.
Manage operational, budget, and authorization/utilization functions.
Support data-driven decision-making and quality improvement.