Hospice Director of Nursing (DON) – Full-Time

Concho Hearts Hospice•Freestone County, TX

About The Position

Concho Hearts Hospice is hiring a full-time Director of Nursing to lead and support its clinical team serving Freestone County and surrounding communities from Fairfield, Texas. The role provides clinical leadership and oversight of daily operations to help ensure safe, compassionate, high-quality hospice care. The Director of Nursing supervises and develops nursing and other clinical staff, supports care planning and regulatory compliance, and may assist with patient visits and clinical needs as necessary. The organization describes the role as central to building a supportive clinical team and delivering compassionate care wherever patients call home.

Requirements

  • Active Texas Registered Nurse (RN) license or qualifying Nurse Licensure Compact (NLC) license.
  • Previous hospice nursing experience.
  • Strong understanding of hospice regulations, clinical documentation, and patient care requirements.
  • Experience supervising, coaching, and supporting nursing staff.
  • Excellent communication, organization, and problem-solving skills.
  • Ability to manage clinical operations while maintaining a patient-centered approach.
  • Strong clinical assessment and critical-thinking skills.
  • Knowledge of interdisciplinary team coordination and hospice care planning.
  • Ability to lead with professionalism, compassion, and accountability.
  • Comfort working collaboratively with branch leadership and home office.
  • Current CPR certification.
  • Valid driver's license, reliable transportation, and current auto insurance.
  • Ability to travel throughout the assigned service area.

Nice To Haves

  • Clinical leadership or nursing management experience is strongly preferred.

Responsibilities

  • Provide clinical leadership, guidance, and support to nursing staff and interdisciplinary team members.
  • Oversee daily clinical operations to ensure safe, compassionate, and high-quality hospice care.
  • Supervise, mentor, and support RNs, LVNs, Hospice Aides, and other clinical team members.
  • Ensure patient care follows physician orders, individualized plans of care, and hospice regulations.
  • Monitor patient caseloads, visit frequencies, scheduling, and clinical staffing needs.
  • Ensure timely completion of clinical documentation, assessments, and required patient visits.
  • Review clinical records for accuracy, completeness, and regulatory compliance.
  • Coordinate with physicians, the Executive Director, and interdisciplinary team members.
  • Participate in interdisciplinary team (IDT) meetings and clinical care planning.
  • Assist with clinical hiring, onboarding, education, competency evaluations, and employee development.
  • Address clinical concerns, coach staff, and promote accountability.
  • Support quality assurance, performance improvement, and survey readiness.
  • Ensure compliance with CMS Conditions of Participation, Texas hospice regulations, and company policies.
  • Assist with patient visits and clinical needs when necessary.
  • Promote a positive, respectful, and supportive work environment.

Benefits

  • Competitive salary based on experience.
  • Medical insurance through BCBS.
  • Dental insurance through BCBS.
  • Vision insurance through BCBS.
  • 401(k) with company match.
  • Paid time off.
  • Paid holidays.
  • Mileage reimbursement.
  • Supportive executive and home office leadership.
  • Opportunities for professional growth.
  • Team-oriented work environment.
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