Benefits:

Bonus based on performance

Competitive salary

Flexible schedule

Paid time off

Training & development

About the Role

We are an established, independently owned Medicare-certified home health agency in San Antonio that has been open since 1996 seeking a hands-on Director of Nursing to lead clinical operations, ensure compliance, and support continued growth.

This is not a corporate DON role. Our DON is actively involved in day-to-day clinical oversight, quality assurance, staff support, and survey readiness. We are looking for someone who values structure, accountability, and patient safety and understands the realities of home health.

Key Responsibilities

Provide overall clinical leadership and oversight for nursing services

Own and manage the QAPI program and quality improvement initiatives

Ensure compliance with Medicare Conditions of Participation, Texas HHSC rules, and agency policies

Oversee clinical documentation and support OASIS accuracy (coding outsourced; DON-level understanding required)

Supervise, mentor, and support RNs and LVNs

Participate in survey readiness and respond to audits as needed

Coordinate with intake, scheduling, and administrative staff

Be available for occasional field visits (spot checks, coverage when needed)

Support growth while maintaining compliance and clinical quality

Required Qualifications (Non-Negotiable)

Active Texas RN license in good standing

Medicare Home Health experience (minimum 2–3 years)

Prior leadership experience (DON, ADON, Clinical Manager, QA Nurse, or Supervisor)

Strong understanding of:

Medicare home health regulations

Clinical documentation standards

QA/QAPI processes

Comfortable working in a small-agency, hands-on environment

Strong organizational and communication skills

Preferred (Strongly Desired)

OASIS SOC/ROC/Discharge experience

Survey or audit experience

Psych or complex patient experience

Axxess, Kinnser, or similar home health EMR experience

Bilingual (English/Spanish)

What This Role Is — and Is Not

This role IS:

Hands-on

Compliance-focused

Collaborative with ownership

Designed for someone who wants autonomy and real impact

This role is NOT:

A corporate or regional DON position

A desk-only role

A hospital transition role with no home health background

Compensation

Salary range: $85,000 – $100,000 (based on experience)

Paid Time Off (PTO) offered

Mileage reimbursement for work-related travel

Phone stipend

No corporate bureaucracy; direct access to leadership

Why Join Us

Stable, established agency with strong compliance history

Opportunity to shape clinical operations and growth

Respect for clinical judgment and leadership

Supportive, experienced administrative team

Focus on doing things the right way, not cutting corners

How to Apply

Qualified candidates with Medicare home health leadership experience are encouraged to apply. Please submit your resume for confidential consideration.