Benefits:

Bonus based on performance

Competitive salary

Flexible schedule

Paid time off

Training & development

This family owned is seeking an experienced Director of Nursing (RN) to lead clinical operations in our Medicare-certified home health agency in San Antonio.

We are looking for a DON who is strong in clinical oversight, compliance, OASIS integrity, staff accountability, and survey readiness — someone who can lead with structure, support the team, and help us continue to grow responsibly.

This is a leadership role, not a “do everything alone” role. We already have office support in place, including QA and intake staff. We need a DON who can provide high-level clinical leadership, build consistency, and keep the agency audit-ready.

What You’ll Be Responsible For

Oversight of day-to-day clinical operations in a Medicare-certified home health setting

Ensuring documentation is accurate, timely, and audit-ready

Clinical oversight of OASIS, with focus on high-risk, unusual, or repeat-error cases

Supporting QA processes and identifying patterns that need correction or retraining

Training, coaching, and holding RNs/LVNs accountable to agency standards

Maintaining survey readiness, infection control tracking, and general clinical compliance

Overseeing physician orders, plan of care follow-up, and clinical escalations

Participating in QAPI / performance improvement processes

Supporting staff development while maintaining clear standards and expectations

Working closely with office staff, QA, intake, and field clinicians to keep operations smooth

Providing limited field support for true coverage gaps, high-risk visits, or urgent clinical needs when necessary

What We’re Looking For

Active Texas RN license

Prior experience in home health leadership, preferably as a DON, Clinical Supervisor, or Clinical Director

Strong knowledge of Medicare home health regulations, Conditions of Participation, and clinical documentation standards

Strong understanding of OASIS, QA, audit readiness, physician orders, and compliance workflows

Experience with staff training, competency development, and accountability

Ability to identify problems early and address them calmly and professionally

Comfortable leading an office-based clinical team while also supporting field clinicians

Able to work with structure, delegate effectively, and avoid becoming the bottleneck

Experience with Axxess or similar EMR strongly preferred

The Right Fit for This Role

The right candidate is:

organized

steady

clinically strong

comfortable making decisions

not afraid to hold standards

able to train staff without taking all the work back

willing to lead from the office while stepping in when truly needed

We are looking for someone who wants to build something long-term and help the agency grow responsibly, not someone looking for a short-term stop.

What We Offer

Full-time salaried position

Competitive salary based on experience

Stable office support structure

Opportunity to help shape clinical systems and growth

Supportive environment with leadership that values compliance, documentation, and doing things the right way

If you are a strong home health RN leader who values structure, accountability, and quality care, we would love to hear from you.

Apply with resume.