Assistant Director of Nursing (ADON)

Mi Casa Hospice – San Antonio, TX

Mi Casa Hospice is seeking a dedicated and experienced Assistant Director of Nursing (ADON) to support the clinical leadership and daily operations of our hospice program. This role works closely with the Director of Nursing to ensure high-quality, compliant, and compassionate patient care.

Position Requirements

Schedule: Must be in the office Monday–Friday, 9:00 AM–5:00 PM

On-Call: Must participate in on-call rotation as needed

Field Work: Must be willing and able to complete all types of hospice visits as needed, including routine, PRN, admission, recertification, and death visits

Essential Duties & Responsibilities

Assist the Director of Nursing in overseeing day-to-day clinical operations

Ensure compliance with CMS, CHAP, and Texas Health & Human Services hospice regulations

Provide clinical supervision, guidance, and support to nursing and interdisciplinary team members

Participate in patient care planning, IDG meetings, and case conferences

Conduct chart reviews, audits, and quality assurance activities

Support staff education, competencies, and ongoing training

Assist with admissions, recertifications, and discharges as needed

Perform patient visits when staffing needs require

Participate in on-call rotation and respond to clinical needs after hours as assigned

Collaborate with administration to maintain quality outcomes and regulatory compliance

Qualifications

Current Texas RN license in good standing

Minimum 3 years hospice experience

Minimum 2 years of Leadership Experience

Strong knowledge of hospice regulations and standards of care

Excellent clinical, organizational, and communication skills

Ability to work collaboratively in both office and field settings

Reliable transportation and ability to travel locally for patient visits