Visiting Nurse Association of Texas

Make a Meaningful Impact as the Clinical Leader of Katherine’s House, our new assisted living facility.

Are you an experienced nurse leader dedicated to clinical excellence, compassionate care, and resident advocacy? We are seeking an inspiring, hands-on Director of Nursing (DON) to serve as the clinical leader of our assisted living community.

Established in 1934, the Visiting Nurse Association of Texas (VNA) is a non-profit organization providing compassionate care to the community. As the first and most experienced Hospice Care provider in Texas, VNA has a trusted reputation for delivering high-quality care for over 90 years. Our hospice and palliative care programs are available across 16 counties in North Texas, including: Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Henderson, Hunt, Johnson, Kaufman, Rockwall, Tarrant, Van Zandt, and parts of Wise and Navarro Counties.

Joining our team means more than a competitive salary and mileage reimbursement. We offer comprehensive medical, dental, and vision plans, along with employer-paid life and short and long-term disability insurance. To support your future, we offer a 401(k) with a 6% match and a fast, two-year vesting schedule. We also prioritize work-life harmony through generous PTO, six total paid holidays, and opportunities for professional growth and tuition reimbursement—all within a supportive, mission-driven culture.

In this role, you will lead our care team, champion resident dignity, choice, and independence, and partner closely with the Chief Nursing Officer, residents, families, physicians, pharmacies, home health, and hospice providers to deliver high-quality, person-centered care. If you are looking to guide a dedicated team in a culture rooted in clinical integrity and resident wellness, we invite you to apply.

What You’ll Do

• Lead Clinical Operations: Direct and evaluate nursing and health-related services, setting clear standards of care, lines of accountability, and reliable on-call support.
• Oversee Service Planning & Assessment: Ensure thorough, timely resident assessments and individualized service plans that quickly identify and respond to changes in condition.
• Guide Staff Development & Delegation: Supervise, mentor, and coach direct-care personnel, practicing nursing delegation in full alignment with Texas Board of Nursing standards and maintaining required training and competency records.
• Ensure Medication Safety & Quality Assurance: Oversee medication storage, administration, assistance with self-administration, reconciliation, and pharmacy coordination; monitor clinical metrics (falls, skin issues, infection control, hospitalizations) to lead quality improvement.
• Coordinate Transitions & Continuity of Care: Collaborate with residents, families, physicians, authorized practitioners, pharmacies, therapy providers, home health, and hospice providers to support appropriate placement and safe care transitions.
• Champion Regulatory Readiness: Maintain ongoing survey readiness in accordance with Texas Health and Human Services Commission assisted living licensing requirements, Texas Board of Nursing rules, and facility policies.

What You’ll Bring

• Licensure: Active, unrestricted license to practice as a Registered Nurse in Texas, or a current multistate license with Texas as an authorized state of practice.
• Education: Graduate of an accredited school of professional nursing; Bachelor of Science in Nursing (BSN) preferred.
• Experience: At least two (2) years of professional nursing experience. Prior experience in assisted living, long-term care, geriatrics, memory care, home health, or related settings preferred.
• Certifications: Current CPR certification. Ability to achieve certification for Assisted Living Management within 3 months of hire.
• Regulatory & Delegation Knowledge: Working knowledge of (or actively pursuing education in) Texas assisted living requirements, Texas Board of Nursing delegation standards, incident reporting, medication management, and infection prevention.
• Clinical Judgment & Communication: Sound clinical decision-making skills, effective prioritization, and strong communication skills with residents, families, staff, practitioners, and regulators.
• Systems Proficiency: Ability to read, write, speak, and understand English; proficiency using electronic health records (EHR) and standard office systems.
• Clearances: Successful completion of all required background, employability, health, and training requirements.

Schedule & Working Environment

• Full-time position based on-site in an assisted living and memory care environment.
• Requires the ability to work a flexible schedule, participate in an on-call rotation as assigned, and respond to urgent clinical or staffing needs.
• Local travel may occasionally be required.

Visiting Nurse Association (VNA) is an Equal Opportunity Employer and is committed to providing a workplace free from discrimination, harassment, and retaliation. Employment decisions are made based on business needs, job requirements, qualifications, and individual merit.

VNA does not discriminate against applicants or employees on the basis of race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local law. 

This policy applies to all aspects of employment, including recruitment, hiring, placement, promotion, compensation, benefits, training, discipline, termination, and all other terms and conditions of employment. 

VNA prohibits harassment, discrimination, and retaliation against any individual who reports concerns, participates in an investigation, or exercises rights protected by law. Employees who believe they have experienced or witnessed discrimination, harassment, or retaliation are encouraged to report their concerns through the Company's reporting procedures so they can be promptly investigated and addressed.

VNA will provide reasonable accommodations to qualified individuals with disabilities and, where required by law, for sincerely held religious beliefs or practices.