Hospice Director of Nursing; DON

Hospice Director of Nursing (DON).
Location: Fairfield, TX / Freestone County & Surrounding Areas.
Position: Full-Time.
Compensation: Competitive Salary Based on Experience. Great Nurses Make a Difference. Great Nursing Leaders Inspire Others to Do the Same! Are you an experienced RN who is passionate about patient care, supporting your team, and leading by example? Do you believe great leadership means being approachable, communicating openly, and helping your nurses succeed? At Concho Hearts Hospice, we're looking for a compassionate, experienced, and motivated Director of Nursing (DON) to lead and support our clinical team serving Freestone County and surrounding communities.

We're looking for someone who doesn't just manage a team but inspires one! If you're a confident nursing leader who values teamwork, accountability, and exceptional patient care, we'd love to meet you!
What You'll Do:

• 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 is delivered in accordance with 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, provide coaching, and promote accountability among staff.
• 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.

What We're Looking For:

• Active Texas Registered Nurse (RN) license or qualifying Nurse Licensure Compact (NLC) license.
• Previous hospice nursing experience required.
• Clinical leadership or nursing management experience strongly preferred.
• 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.
• Comfortable 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.

We're looking for a leader who understands hospice, supports their team, communicates effectively, and isn't afraid to step in and help when needed.
Benefits:

• Competitive Salary Based on Experience.
• Medical Insurance – BCBS.
• Dental Insurance – BCBS.
• Vision Insurance – BCBS.
• 401(k) with Company Match.
• Paid Time Off.
• Paid Holidays.
• Mileage Reimbursement.
• Supportive Executive and Home Office Leadership.
• Opportunities for Professional Growth.
• A Team-Oriented Work Environment.

Join a Best of Texas 2026 Award-Winning Hospice! Concho Hearts Hospice is proud…