Director of Nursing — Hybrid Schedule & $5K Sign-On

Avir Trilogy; Waco (TX); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Sign-on bonus

Hybrid schedule

Daily pay

401k with match

Paid holidays

PTO Program

Health insurance for the entire family

Scrubs on Wheels

Voluntary benefits

Job summary

Avir Trilogy is seeking a Director of Nursing to join our team in Texas. This role leads the Nursing Services Department and ensures care delivery meets federal, state, and local regulations while focusing on resident outcomes.

The Director will lead from the floor, not from behind a desk, and will oversee quality and compliance initiatives. The ideal candidate is an RN with supervisory experience and a strong ability to balance clinical leadership with administrator-level responsibilities.

Qualifications

• Current, unencumbered Registered Nurse (RN) license in Texas.
• Minimum of one year of supervisory experience in a hospital, skilled nursing facility, or related healthcare setting.
• Working knowledge of long-term care operational standards under the Federal Register, Conditions of Participation, and state regulations.
• Ability to work independently, exercise sound judgment, and remain calm under pressure.
• Patience, tact, and a positive attitude with residents, families, and staff.

Responsibilities

• Direct nursing operations to meet federal, state, and regulatory care standards, and keep the facility survey-ready year round.
• Lead the nursing management team and build ownership of quality goals across the department.
• Run continuous quality assessment and improvement of nursing care delivery, and keep the Administrator current on department activity and issues.
• Help develop and implement plans of action that support each resident's comprehensive assessment and care plan.
• Make daily rounds to confirm care standards are being met and to monitor safety, reporting unsafe conditions and all incidents immediately.
• Audit charts for accuracy and completeness, identify problem areas, and implement corrective action.
• Maintain appropriate staffing levels through work assignments, schedule adjustments, and shift approvals.
• Serve on facility committees including Infection Control, Quality Assurance, and Utilization Review.
• Participate in the Infection Control program, monitoring hand hygiene, isolation technique, dressing changes, linen handling, and medication pass at least monthly.
• Review resident complaints and grievances and document the actions taken to resolve them.
• Monitor weekly skin assessments and bath sheets, and complete the weekly wound report.
• Participate in the nursing on-call rotation.

Skills

RN license Texas

Supervisory experience

Regulatory knowledge

Leadership

Communication

Decision making under pressure

Education

Registered Nurse (RN) license

Job description

Avir Trilogy is seeking a Director of Nursing to join our team in Texas. This role leads the Nursing Services Department and ensures care delivery meets federal, state, and local regulations while focusing on resident outcomes.

The Director will lead from the floor, not from behind a desk, and will oversee quality and compliance initiatives. The ideal candidate is an RN with supervisory experience and a strong ability to balance clinical leadership with administrator-level responsibilities.